Blunt Traumatic Intraperitoneal Bladder Rupture After Alcohol Intake That Responds to Non-Operative Conservative Management
Bibliographic record
Abstract
Blunt traumatic intraperitoneal bladder rupture is usually treated by surgical repair. We report a patient with intraperitoneal bladder rupture secondary to blunt abdominal trauma that responded to non-operative conservative management using a transurethral catheter. A 58-year-old woman was admitted to our Department of Internal Medicine complaining of lower abdominal pain and urinary retention after drinking alcohol. Computed tomography (CT) scan revealed collection of fluid in the abdominal cavity and fresh blood clots in the bladder. At 2 days after admission, she was moved from the Department of Internal Medicine to Urology. Cystoscopy revealed an old hematoma in the bladder. She complained of abdominal pain when the Foley catheter was removed. At 3 days after admission, cystoscopy revealed a small tear at the bladder dome, which led to a definitive diagnosis of intraperitoneal bladder rupture. At 4 days after admission, a CT scan detected only a small amount of fluid in the abdominal cavity. Conservative therapy was continued because urine could be constantly drained. At 2 weeks after admission, the bladder rupture had healed. World J Nephrol Urol. 2019;8(1):19-22 doi: https://doi.org/10.14740/wjnu380
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".