Abstract
Bladder herniation associated with pubic symphysis diastasis is a very rare condition. We report a case with bladder herniation after traumatic pubic symphysis disruption. The patient was treated with open reduction of the bladder and definitive internal fixation of the pubis. We used a bone allograft for closure of the diastasis and a prolene mesh graft for supporting the abdominal wall. We obtained a successful outcome during a 12-month follow-up period.
Similar content being viewed by others
References
Bartlett CS, Ali A, Helfet DL (1998) Bladder incarceration in a traumatic symphysis pubis diastasis treated with external fixation: a case report and review of the literature. J Orthop Trauma 12:64–67
Burgess AR, Eastridge BJ, Young JW, Ellison TS, Ellison PS Jr, Poka A, Bathon GH, Brumback RJ (1990) Pelvic ring disruptions: effective classification system and treatment protocols. J Trauma 30:848–856
Cespedes RD, Roettger RH, Peretsman SJ (1995) Herniation of the urinary bladder: a complication of traumatic pubic symphysis diastasis. South Med J 88:849–850
Fallon B, Wendt JC, Hawtrey CE (1984) Urological injury and assessment in patients with fractured pelvis. J Urol 131:712–714
Foster EJ, Murray DG, Gregg RO (1981) Chronic bladder herniation associated with pubic diastasis. J Trauma 21:80–81
Fuhs SE, Herndon JH, Gould FR (1978) Herniation of the bladder: an unusual complication of traumatic diastasis of the pubis. J Bone Joint Surg 60A:704–707
Geracci JJ, Morey AF (2000) Bladder entrapment after external fixation of traumatic pubic diastasis: importance of follow-up computed tomography in establishing prompt diagnosis. Mil Med 165:492–493
Jacques LF, Gloviczki P, Patterson DE, Sarr MG (1988) Successful repair of an unusual hernia associated with traumatic pubic diastasis. Mayo Clin Proc 63:492–495
Neser CP, Lindeque BG (1986) Bladder interposition in traumatic diastasis of the symphysis pubis. S Afr Med J 69:640–641
Sharma A, Jain PK, Shaw CJ, Sedman PC (2004) Successful laparoscopic repair of a traumatic pubic symphysis hernia. Surg Endosc 18:345–349
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Seckiner, I., Keser, S., Bayar, A. et al. Successful repair of a bladder herniation after old traumatic pubic symphysis diastasis using bone graft and hernia mesh. Arch Orthop Trauma Surg 127, 655–657 (2007). https://doi.org/10.1007/s00402-007-0290-2
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00402-007-0290-2