ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG CỦA VỠ BÀNG QUANG TRONG PHÚC MẠC TẠI BỆNH VIỆN CHỢ RẪY

Abstract

Objective: Describe the clinical features, paraclinical characteristics, and associated lesions of patients with intraperitoneal bladder rupture treated at Cho Ray Hospital. Materials and Methods: A retrospective descriptive case series study, including all cases diagnosed with intraperitoneal bladder rupture and treated at Cho Ray Hospital from January 2019 to June 2024. Results: The study included 111 cases diagnosed with intraperitoneal bladder rupture and treated at Cho Ray Hospital. The mean age was 39.8 ± 15.3 years, with the majority being of working age (20–40 years). The male-to-female ratio was approximately 6.9:1. The most common cause of hospital admission was traffic accidents, accounting for 81.1% of cases. The most frequent clinical features were suprapubic pain and hematuria, observed in 84.8% and 90.2% of patients, respectively, while signs of traumatic shock were present in 5.4% of cases. In our study, 9% of cases were spontaneous intraperitoneal bladder ruptures, which typically presented with atypical symptoms. These patients often presented late, leading to delayed or missed diagnoses. Cystography and CT-cystography played crucial roles in diagnosing intraperitoneal bladder rupture, with sensitivities approaching 95%. In our study, 89.2% of cases were diagnosed with intraperitoneal bladder rupture preoperatively. The most common associated injuries were craniofacial trauma and pelvic fractures, with incidences of 19.8% and 13.5%, respectively. Conclusions: Intraperitoneal bladder rupture commonly occurs in individuals of working age, with traffic accidents being the most frequent cause. Traumatic shock was observed in 5.4% of cases. Imaging modalities such as cystography and CT-cystography play a crucial role in diagnosis, with sensitivities approaching 95%.