Bladder rupture due to urogenital tract trauma caused by ox horn injury in a patient with pelvic organ prolapse: a case
- PDF / 1,085,828 Bytes
- 4 Pages / 595.276 x 790.866 pts Page_size
- 80 Downloads / 157 Views
pen Access
CASE REPORT
Bladder rupture due to urogenital tract trauma caused by ox horn injury in a patient with pelvic organ prolapse: a case report Zelalem Mengistu* and Mezigebu Molla
Abstract Introduction: Genitourinary tract trauma caused by ox horn injury in the presence of pelvic organ prolapse (POP) is an extremely rare phenomenon and associated with devastating morbidity. Case presentation: A 50-year-old multiparous postmenopausal woman from rural northwest Ethiopia presented with the primary complaint of urinary incontinence 6 days after she suffered ox horn injury to her prolapsed genitalia. She had stage 3 pelvic organ prolapse with the leading point being the cervix. The anterior vaginal and posterior bladder walls were disrupted with visible draining of the left ureter. The wound was dirty and edematous with whitish discharge. She was admitted to the urogynecology ward and provided with wound care until the infection subsided. Apical prolapse suspension was performed using right sacrospinous fixation, and bladder repair was carried out 6 weeks following the prolapse suspension. She recovered well and was continent when discharged. Conclusion: Ox horn injury involving the female lower urogenital tract in the presence of POP is extremely rare. Late presentation after sustaining injury is associated with increased risk of morbidity and long hospital stay, and treatment requires multistage surgery. Keywords: Horn injury, Urogenital injury, Genital trauma, Bladder rupture, Pelvic organ prolapse injury Introduction Traumatic injury to the female genital tract includes external injuries to the labia, vulva or vagina, urethra and anus and internal injuries to the bony pelvis, bladder, bowels and reproductive organs [1]. Obstetric complications are the most common cause of female urogenital trauma, although non-obstetric causes are not unusual. However, non-obstetric injury to the lower genitourinary tract in females has not been well described in the literature. The non-obstetrics causes of genital trauma are classified as coital or non-coital. The majority of noncoital causes result from striking injuries (edge of chairs, stools, sharp object etc.), road traffic accidents, violence, *Correspondence: [email protected] Department of Obstetrics and Gynecology, University of Gondar, Gondar, Ethiopia
bull horn injury and genital mutilation [2, 3]. The risk factors associated with non-birth-related injury to the genital tract are age, marital status, residential location, occupation, socioeconomic status, leisure and sporting activities and sexual behavior [4]. Although physical traumas resulting from cattle horn injuries are relatively common on various parts of the body, injuries to the genitalia and lower urinary system from cattle horns are rarely reported [5, 6]. Urogenital tract trauma accounts for 10% of all abdominopelvic traumatic injuries of which bladder injury occurs in 1.6% of these cases [7, 8]. Injury to the bladder is not common due to the protection provided by the bony pelvis. Bladder in
Data Loading...
