Intraperitoneal bladder rupture management:
Intraperitoneal Rupture (20%) Blow, kick or fall on fully distended bladder Apa from classic triad suggestive of bladder rupture (Suprapublic pain and tenderness + difficulty in ability to pass urine + hematuria) patients develop Peritonitis and abdominal distention. Diagnosis is made by Retrograde cystography or CT cystography. Laparotomy with peritoneal lavage and bladder repair with SPC should be done. Cystography demonstrates typical Sun - burst appearance.
Antegrade cystogram is needed
Requires laparotomy
Simple catheter drainage is the treatment
Conservative management
Urinary bladder