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Article
November 1948

INTRAPERITONEAL RUPTURE OF THE URINARY BLADDER COMPLICATING FRACTURE OF THE PELVISTechnics of Repair

Author Affiliations

ANN ARBOR, MICH.
From the Department of Surgery, St. Joseph's Mercy Hospital.

Arch Surg. 1948;57(5):681-685. doi:10.1001/archsurg.1948.01240020690008
Abstract

R UPTURE of the bladder is a serious and rare lesion. McCague and Semans1 reported that in the period from 1905 to 1942, 780 patients with fracture of the pelvis were admitted to the University of Pittsburgh Hospital. In 133, or 17 per cent, the fracture was complicated by rupture of the urethra or bladder. Of the 22 patients with rupture of the bladder, only 6 had the intraperitoneal type, a percentage of 0.8, or a ratio of 1 case of intraperitoneal rupture of the bladder to every 130 patients.

Campbell2 reported that from 1919 to 1928, 166 patients with fracture of the pelvis were admitted to Bellevue Hospital. In 25, or 15 per cent, of these the fracture was complicated by rupture of the urinary bladder. This analysis does not state the number of ruptured bladders which were of the intraperitoneal type.

In the ten years, from

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