Ruptured Sigmoid Urinary Pouch following Blunt Abdominal Trauma
Abstract
19 year old male presented with abdominal pain and constipation since 2 days, with history of trauma to abdomen 2 days back while playing with a ball. He has h/o multiple urological procedures for ectopia vesicae with epispadiasis. Repair with Jeff’s functional bladder was done in 1997 and Kelly’s repair was done on 4/8/2000. USG abdomen showed moderate free fluid in peritoneal cavity with septations, possibly collection. Exploratory laparotomy was performed. 200-300ml of clear fluid present at right iliac fossa, minimal pus flakes, 1 x 0.5 cm defect at sigmoid urinary pouch was detected with no other bowel or solid organ injury. Primary repair of ruptured sigmoid urinary pouch was done. Patient recovery progressed uneventfully.
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