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Case Report Open Access

Secondary bladder stone caused by delayed penetration of the bladder by a pubic fracture: A case report and literature review

  • Authors:
    • Xinghao Wang
    • Xiao Guo
    • Zhiling Tang
    • Xiangjun Ying
    • Chenye Tang
    • Ruilin Shen
  • View Affiliations / Copyright

    Affiliations: Jiaxing University Master Degree Cultivation Base, Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310000, P.R. China, Department of Urology, The Second Hospital of Jiaxing, Jiaxing, Zhejiang 314000, P.R. China
    Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
  • Article Number: 167
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    Published online on: February 27, 2024
       https://doi.org/10.3892/etm.2024.12455
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Abstract

Pelvic fractures sometimes lead to injuries of the urinary bladder, which commonly present as gross hematuria, dysuria and lower abdominal pain. As a type of urinary stone, bladder stones are usually secondary to lower urinary tract obstruction, such as benign prostatic hyperplasia, urethral stricture, and neurogenic bladder. The present case report examines an unusual case of a delayed pubic fracture penetrating the bladder, which caused a secondary bladder stone. A 53-year-old man was first hospitalized at The Second Hospital of Jiaxing (Jiaxing, China) in January 2020 because of trauma-induced bleeding in the scalp and abdominal pain. The patient underwent abdominal exploration and partial bowel resection, and his condition stabilized after surgery. After discharge, the patient had regular outpatient check-ups every 2-3 weeks. However, after 3 months, in April 2020, the patient was readmitted to the hospital because of frequent urination, an urgent need for urination and dysuria. Abdominal computed tomography imaging and cystoscopy revealed a pubic fracture that had penetrated the bladder wall, accompanied by a bladder stone. Subsequently, cystolithotomy was performed, which provided significant relief of symptoms once the catheter was removed after 2 weeks. Since then, the patient has been followed up until January 2023 and had remained asymptomatic. Bladder stones caused by necrotic bone fragmentation are rare. Bladder injuries resulting from pelvic fractures can have delayed onset; therefore, clinicians should be aware of the possibility of urogenital injury in such patients. It is crucial for clinicians to comprehend the potential mechanisms involved, analyze the clinical data of patients, closely monitor their condition and implement appropriate treatment measures when necessary.
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Copy and paste a formatted citation
Spandidos Publications style
Wang X, Guo X, Tang Z, Ying X, Tang C and Shen R: Secondary bladder stone caused by delayed penetration of the bladder by a pubic fracture: A case report and literature review. Exp Ther Med 27: 167, 2024.
APA
Wang, X., Guo, X., Tang, Z., Ying, X., Tang, C., & Shen, R. (2024). Secondary bladder stone caused by delayed penetration of the bladder by a pubic fracture: A case report and literature review. Experimental and Therapeutic Medicine, 27, 167. https://doi.org/10.3892/etm.2024.12455
MLA
Wang, X., Guo, X., Tang, Z., Ying, X., Tang, C., Shen, R."Secondary bladder stone caused by delayed penetration of the bladder by a pubic fracture: A case report and literature review". Experimental and Therapeutic Medicine 27.4 (2024): 167.
Chicago
Wang, X., Guo, X., Tang, Z., Ying, X., Tang, C., Shen, R."Secondary bladder stone caused by delayed penetration of the bladder by a pubic fracture: A case report and literature review". Experimental and Therapeutic Medicine 27, no. 4 (2024): 167. https://doi.org/10.3892/etm.2024.12455
Copy and paste a formatted citation
x
Spandidos Publications style
Wang X, Guo X, Tang Z, Ying X, Tang C and Shen R: Secondary bladder stone caused by delayed penetration of the bladder by a pubic fracture: A case report and literature review. Exp Ther Med 27: 167, 2024.
APA
Wang, X., Guo, X., Tang, Z., Ying, X., Tang, C., & Shen, R. (2024). Secondary bladder stone caused by delayed penetration of the bladder by a pubic fracture: A case report and literature review. Experimental and Therapeutic Medicine, 27, 167. https://doi.org/10.3892/etm.2024.12455
MLA
Wang, X., Guo, X., Tang, Z., Ying, X., Tang, C., Shen, R."Secondary bladder stone caused by delayed penetration of the bladder by a pubic fracture: A case report and literature review". Experimental and Therapeutic Medicine 27.4 (2024): 167.
Chicago
Wang, X., Guo, X., Tang, Z., Ying, X., Tang, C., Shen, R."Secondary bladder stone caused by delayed penetration of the bladder by a pubic fracture: A case report and literature review". Experimental and Therapeutic Medicine 27, no. 4 (2024): 167. https://doi.org/10.3892/etm.2024.12455
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