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SRUB often presents with various and non-specific symptoms, which results in misdiagnosis or delayed treatment. Medical staff noticing abdominal pain suggestive of peritonitis with urinary symptoms should be suspicious of bladder rupture, especially in patients with a history of bladder disease. CT cystography can be the best preoperative non-invasive examination tool for both diagnosis and evaluation. Conservative management in the form of urine drainage and antibiotic therapy can be used in patients without severe infection, bleeding, or major injury. Otherwise, surgical treatment is recommended. Early diagnosis and management of SRUB are crucial for an uneventful recovery.
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Yue Zhang
Shuo Yuan
Rami W. A. Alshayyah
Frontiers in Surgery
Dalian Medical University
Second Affiliated Hospital of Dalian Medical University
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Zhang et al. (Tue,) studied this question.
www.synapsesocial.com/papers/6a05786b21b736d53b0b101a — DOI: https://doi.org/10.3389/fsurg.2021.721705