Traumatic intraperitoneal bladder rupture requires operative repair. This video demonstrates the diagnosis and repair of an intraperitoneal bladder rupture laparoscopically in a 7 year old female following a fall from a bicycle.

The video demonstrates patient presentation, CT findings, and description of the procedure consisting of a two-layered closure of an isolated injury to the dome of the bladder.

A 7 year old female presented to the emergency department approximately 12 hours after sustaining a bicycle handlebar injury to the abdomen. CT scan revealed intraperitoneal fluid inconsistent with blood. Exploratory laparoscopy was performed and an isolated injury to the dome of the bladder was identified. Following a laparoscopic two-layed closure of the bladder, the patient tolerated a regular diet on post-op day one and was discharged by post-op day three with an indwelling urinary catheter for two weeks.

Trauma cases represent a unique opportunity for the application of laparoscopic techniques. Use of a laparoscopic approach in this pediatric patient avoided the morbidity of a lower midline incision, allowing for expedient recovery with an abbreviated hospital stay. The laparoscopic approach to isolated injuries in the stable trauma patient should be considered.