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Ulus Travma Acil Cerrahi Derg. 2008 Apr;14(2):163-6.

Combined diaphragmatic and urinary bladder rupture after minor motorcycle accident (report of a case and literature review).

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2nd Department of Surgery, 401 General Military Hospital of Athens, Athens, Greece.


Diaphragmatic and urinary bladder ruptures are rare entities after blunt abdominal trauma and they are usually the results of high energy injuries. They seldom occur in isolation. For the diaphragmatic rupture, the accurate diagnosis depends on high index of suspicion and careful scrutiny of the chest X-ray, while gross hematuria is the hallmark finding in patients with bladder rupture. Suprapubic pain, tenderness, and inability to void are the main symptoms and signs of bladder rupture. In this report, we describe our successful experience with a case of combined diaphragmatic and urinary bladder rupture occurred in isolation as a result of low energy trauma, with special emphasis on diagnosis and surgical treatment.

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