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Lesión traumática de la vejiga y la uretra - Symptom

Nombres alternativos

Lesión de la vejiga y la uretra; Hematoma vesical; Lesión uretral; Lesión vesical; Fractura pélvica; Ruptura uretral; Fractura de la pelvis

Síntomas:

Los síntomas de emergencia que indican shock o hemorragia son:

Nota: los síntomas se presentan después de una lesión.

Se puede presentar cicatrización (estenosis) u obstrucción de la vejiga o la uretra a raíz de la inflamación.

Si se presenta retención de orina, existe un mayor riesgo de sufrir infecciones urinarias.

Signos y exámenes:

Una evaluación de los genitales puede revelar una lesión en la uretra. Si el médico sospecha una lesión, se debe efectuar una radiografía de la uretra usando un colorante (uretrografía retrógrada) que muestre la estructura de las vías urinarias bajas.

El examen también puede mostrar:

  • Lesión vesical o vejiga hinchada (distendida).
  • Si el revestimiento vesical se ha alterado, se puede presentar escape de orina desde allí hacia la cavidad abdominal.
  • Otros signos de lesión pélvica, como hematomas sobre el pene, el escroto y el perineo.
  • Signos de hemorragia o shock, incluyendo disminución de la presión arterial, especialmente en los casos de fractura de la pelvis.
  • Sensibilidad y llenura vesical al tacto (causadas por la retención de orina)
  • Huesos pélvicos inestables y sensibles

Se puede introducir un catéter (una sonda que drena orina del cuerpo) una vez que se haya descartado una lesión. Luego se puede tomar una radiografía de la vejiga usando un colorante para resaltar cualquier daño.

  • Reviewed last on: 6/21/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Morey AF, Rozanski TA. Genital and lower urinary tract trauma. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 83.

Runyon MS. Genitourinary system. In: Marx JA, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 44.

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