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

Wang,Xinghao; Guo,Xiao; Tang,Zhiling; Ying,Xiangjun; Tang,Chenye; Shen,Ruilin

doi:10.3892/etm.2024.12455

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

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
Published online on: February 27, 2024 https://doi.org/10.3892/etm.2024.12455
Article Number: 167
Copyright : © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

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.

View Figures

View References

1	Coccolini F, Moore EE, Kluger Y, Biffl W, Leppaniemi A, Matsumura Y, Kim F, Peitzman AB, Fraga GP, Sartelli M, et al: Kidney and Uro-trauma: WSES-AAST guidelines. World J Emerg Surg. 14(54)2019.PubMed/NCBI View Article : Google Scholar
2	Coccolini F, Stahel PF, Montori G, Biffl W, Horer TM, Catena F, Kluger Y, Moore EE, Peitzman AB, Ivatury R, et al: Pelvic trauma: WSES classification and guidelines. World J Emerg Surg. 12(5)2017.PubMed/NCBI View Article : Google Scholar
3	Hertz AM, Hertz NM and Johnsen NV: Identifying bladder rupture following traumatic pelvic fracture: A machine learning approach. Injury. 51:334–339. 2020.PubMed/NCBI View Article : Google Scholar
4	Koraitim MM: Pelvic fracture urethral injuries: The unresolved controversy. J Urol. 161:1433–1441. 1999.PubMed/NCBI
5	Morgan DE, Nallamala LK, Kenney PJ, Mayo MS and Rue LW III: CT cystography: Radiographic and clinical predictors of bladder rupture. AJR Am J Roentgenol. 174:89–95. 2000.PubMed/NCBI View Article : Google Scholar
6	Kurniawan D and Pramod SV: Spontaneous intraperitoneal bladder rupture managed conservatively. Urol Case Rep. 45(102220)2022.PubMed/NCBI View Article : Google Scholar
7	Ma M, Wei G, Liu C and Xu Y: An uncommon and easily overlooked case: Delayed intraperitoneal bladder rupture following blunt trauma: A case report and review of the literature. Medicine (Baltimore). 103(e37147)2024.PubMed/NCBI View Article : Google Scholar
8	Phillips B, Holzmer S, Turco L, Mirzaie M, Mause E, Mause A, Person A, Leslie SW, Cornell DL, Wagner M, et al: Trauma to the bladder and ureter: A review of diagnosis, management, and prognosis. Eur J Trauma Emerg Surg. 43:763–773. 2017.PubMed/NCBI View Article : Google Scholar
9	Terrier JE, Paparel P, Gadegbeku B, Ruffion A, Jenkins LC and N'Diaye A: Genitourinary injuries after traffic accidents: Analysis of a registry of 162,690 victims. J Trauma Acute Care Surg. 82:1087–1093. 2017.PubMed/NCBI View Article : Google Scholar
10	Dobrowolski ZF, Lipczyñski W, Drewniak T, Jakubik P and Kusionowicz J: External and iatrogenic trauma of the urinary bladder: A survey in Poland. BJU Int. 89:755–756. 2002.PubMed/NCBI View Article : Google Scholar
11	Schwartz BF and Stoller ML: The vesical calculus. Urol Clin North Am. 27:333–346. 2000.PubMed/NCBI View Article : Google Scholar
12	Kittanamongkolchai W, Vaughan LE, Enders FT, Dhondup T, Mehta RA, Krambeck AE, McCollough CH, Vrtiska TJ, Lieske JC and Rule AD: The changing incidence and presentation of urinary stones over 3 decades. Mayo Clin Proc. 93:291–299. 2018.PubMed/NCBI View Article : Google Scholar
13	Gaspar SS, Dias JS, Martins F and Lopes TM: Sexual urological emergencies. Sex Med Rev. 3:93–100. 2015.PubMed/NCBI View Article : Google Scholar
14	van Ophoven A and deKernion JB: Clinical management of foreign bodies of the genitourinary tract. J Urol. 164:274–287. 2000.PubMed/NCBI View Article : Google Scholar
15	Schmitt BH, Feder MT, Rokke DL, Moyer TP and Pritt BS: An unusual foreign body in the urinary bladder mimicking a parasitic worm. J Clin Microbiol. 50:2520–2522. 2012.PubMed/NCBI View Article : Google Scholar
16	Cardinale M, Scheiwe C, Boubotte-Salmon F and Laitselart P: A rare Foreign Body in the bladder: A surgical dressing as a bladder stone. Med Sante Trop. 29:222–224. 2019.PubMed/NCBI View Article : Google Scholar
17	Jamburaj A, Darlington D and Chinnathambi J: An unusual cause of vesical calculi. Cureus. 12(e6701)2020.PubMed/NCBI View Article : Google Scholar
18	Dietrick DD, Issa MM, Kabalin JN and Bassett JB: Intravesical migration of intrauterine device. J Urol. 147:132–134. 1992.PubMed/NCBI View Article : Google Scholar
19	Kalathia J, Undaviya D, Patel K, Valiya A and Vala G: Endourological management of migrated intravesical intrauterine contraceptive device: Neglected case with stone formation. Urol Case Rep. 46(102313)2023.PubMed/NCBI View Article : Google Scholar
20	Stenquist DS, Chavez TJ and Weaver MJ: Entrapment of the urinary bladder: A rare mechanism of bladder injury in pelvic trauma. Trauma Case Rep. 21(100199)2019.PubMed/NCBI View Article : Google Scholar
21	Tolkach Y, Gadjiev N, Korol V and Gonchar I: Vesico-Acetabular fistula and urolithiasis in the hip joint cavity due to persistent bladder entrapment after acetabular fracture. Korean J Urol. 52:221–224. 2011.PubMed/NCBI View Article : Google Scholar
22	Ziran BH, Chamberlin E, Shuler FD and Shah M: Delays and difficulties in the diagnosis of lower urologic injuries in the context of pelvic fractures. J Trauma. 58:533–537. 2005.PubMed/NCBI View Article : Google Scholar
23	Iverson AJ and Morey AF: Radiographic evaluation of suspected bladder rupture following blunt trauma: Critical review. World J Surg. 25:1588–1591. 2001.PubMed/NCBI View Article : Google Scholar
24	Bryk DJ and Zhao LC: Guideline of guidelines: A review of urological trauma guidelines. BJU Int. 117:226–234. 2016.PubMed/NCBI View Article : Google Scholar
25	Figler BD, Hoffler CE, Reisman W, Carney KJ, Moore T, Feliciano D and Master V: Multi-disciplinary update on pelvic fracture associated bladder and urethral injuries. Injury. 43:1242–1249. 2012.PubMed/NCBI View Article : Google Scholar
26	Morey AF, Brandes S, Dugi DD III, Armstrong JH, Breyer BN, Broghammer JA, Erickson BA, Holzbeierlein J, Hudak SJ, Pruitt JH, et al: Urotrauma: AUA guideline. J Urol. 192:327–335. 2014.PubMed/NCBI View Article : Google Scholar
27	Min W, Gaines RJ and Sagi HC: Delayed presentation of bladder entrapment secondary to nonoperative treatment of a lateral compression pelvic fracture. J Orthop Trauma. 24:e44–e48. 2010.PubMed/NCBI View Article : Google Scholar
28	Sahai A, Ali A, Barratt R, Belal M, Biers S, Hamid R, Harding C, Parkinson R, Reid S and Thiruchelvam N: British Association of Urological Surgeons (BAUS) consensus document: Management of bladder and ureteric injury. BJU Int. 128:539–547. 2021.PubMed/NCBI View Article : Google Scholar