31/08/2026
🚨 WHAT APPEARED TO BE ONLY SUPERFICIAL ABRASIONS AFTER A TRAFFIC ACCIDENT UNEXPECTEDLY REVEALED A RUPTURED BLADDER REQUIRING TIMELY EMERGENCY SURGERY
A motorcycle fall initially appeared to have caused only superficial abrasions. However, inside the abdominal cavity, the patient had sustained a complex bladder rupture with a tear measuring approximately 8 cm in length.
Recently, doctors at Phan Chau Trinh Hospital Medical University successfully performed emergency laparoscopic surgery on patient P.H.A., born in 1984 and residing in Da Nang, who sustained a rupture of the superior wall of the urinary bladder following a traffic accident.
🏥 FROM LOWER ABDOMINAL PAIN TO THE DISCOVERY OF AN INJURY REQUIRING EMERGENCY SURGERY
On August 10, 2026, the patient was admitted to the hospital following a motorcycle accident, presenting with lower abdominal pain, mild abdominal distension, and multiple superficial abrasions on the face, arms, and legs.
Given the possibility of multiple traumatic injuries, the doctors promptly conducted a systematic clinical examination and ordered the necessary diagnostic investigations. Abdominal ultrasonography revealed free fluid in the abdominal cavity, prompting an abdominal CT scan for further evaluation.
The CT scan showed a rupture of the superior wall of the urinary bladder accompanied by intraperitoneal fluid.
⚠️ This type of injury requires prompt diagnosis and management because urine and blood may leak into the abdominal cavity, increasing the risk of complications if treatment is delayed.
🔬 COMPLEX 8-CM BLADDER RUPTURE – SUCCESSFULLY MANAGED WITH LAPAROSCOPIC SURGERY
Immediately after the diagnosis was established, the patient underwent multidisciplinary consultation, and emergency surgery was indicated.
Dr. Pham Van Uoc and the surgical team from the Department of Surgery performed laparoscopic repair of the ruptured bladder.
During surgery, the doctors identified a more complex injury than initially anticipated: a rupture of the superior bladder wall measuring approximately 8 cm in length, together with blood-stained fluid in the abdominal cavity and blood within the bladder.
Using a laparoscopic approach, the surgeons were able to accurately access the injured area, repair the bladder rupture, and restore the integrity of the bladder wall, while minimizing surgical invasiveness compared with open surgery in appropriately selected cases.
✅ Following surgery, the patient recovered well and was discharged after seven days of postoperative treatment.
This case once again demonstrates that, in trauma emergencies, potentially serious internal injuries are not always evident from external signs. A systematic clinical assessment, appropriate selection of diagnostic imaging modalities, prompt multidisciplinary consultation, and the ability to perform emergency laparoscopic surgery can play a crucial role in achieving favorable treatment outcomes.
💙 Phan Chau Trinh Hospital Medical University continues to strengthen its capabilities in emergency medicine, diagnostic imaging, surgery, and minimally invasive laparoscopic procedures, supported by multidisciplinary coordination to ensure timely management of traumatic injuries ranging from simple to complex.
Following an accident, particularly when symptoms such as abdominal pain, lower abdominal pain, abdominal distension, difficulty urinating, hematuria, or other unusual signs occur, patients should not underestimate their condition and should seek medical evaluation promptly for timely diagnosis and treatment.
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PHAN CHAU TRINH HOSPITAL MEDICAL UNIVERSITY
📍 Address: 09 Nguyen Gia Thieu Street, Dien Ban D**g Ward, Da Nang City
🕒 Working hours (Outpatient Department):
Monday - Saturday: 07:00 - 11:30 | 13:00 - 19:00
Sunday: 07:30 - 11:30
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🌐 Website: pctuhealthcare.com
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☎ Hotline: 0905133639
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