![]() This uses radio waves to make images of the organs in your abdomen. This can show problems with bones, as well as with organs such as your kidneys, spleen, liver, and stomach. These use a computer and a special type of X-ray machine to give detailed pictures of the inside of your body. ![]() They are mostly used to look for broken bones and problems with your heart and lungs.ĬT scans. These imaging tests use radiation to take pictures of inside the body. You may also need to have 1 or more tests to find out the extent of your injuries. Otherwise you'll be watched closely for a time. Severe trauma may need surgery right away. You'll also be examined carefully for injuries. After surgery, a catheter is left in the bladder to drain the urine and blood until the bladder heals.Your vital signs (temperature, breathing, blood pressure, and pulse) will be checked. Most of the time, other organs in the area will be injured and need repair as well. Injury to the bladder from a bullet or other penetrating object is usually fixed with surgery. If the catheter doesn’t drain properly, surgery is needed. The catheter is left in the bladder until an X-ray shows that the leak has sealed. It usually takes at least 10 days for the bladder to heal. The urine and blood drain into a collection bag. But often it can be treated by simply placing a wide catheter into the bladder to keep it empty. Complex injuries of this type should be repaired with surgery. If the tear is at the bottom or side of the bladder, the urine will leak into the tissues around the bladder instead of the abdominal cavity. The tube will either come out through the urethra or out through the skin below the belly button. A catheter is left in the bladder for up to 2 weeks after surgery to allow the bladder to rest. This tear can be sewn closed with surgery. Urine leaking into the abdomen is a serious problem. If the tear is on the top of the bladder, the hole will usually open to the part of the abdomen that holds the liver, spleen, and bowel. Once the urine becomes clear, the catheter will be taken out if there aren’t any other reasons to leave it in. Your health care provider may just leave a wide catheter in the bladder so clots can pass. Most of the time, the bladder wall doesn’t tear and is only bruised. Penetrating injury is damage caused by something piercing through the bladder. The treatment for bladder trauma depends on the type of damage.īlunt injury is damage caused by blows to the bladder. The bladder can also be hurt by being pierced from the outside ("penetrating trauma"). During a car crash, passengers with a full bladder wearing a seat belt around the belly may have the force of the crash focus on the full bladder. The seat belt should be worn as a lap belt, and not across the belly. You can prevent bladder trauma from a car crash by wearing a seat belt properly. Heavy object falling on the lower abdomen.The most common ways the bladder is injured are: ![]() If the pelvis is hit with a force great enough to break the pelvic bones, the bladder may be injured even if it’s empty. In children, the pelvic bones aren’t fully developed, so it’s more easily injured than adults. As it fills, though, the top of the bladder rises into the abdomen where it’s less protected. ![]() When the bladder is empty, the bones of the pelvis protect it from blows to the lower abdomen.
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