Bladder Injury and Urinary Tract Infection Following Low-Energy Pelvic Fracture in an Elderly Patient.

This case report presents an 86-year-old female patient who developed a urinary tract injury and infection following a pelvic fracture caused by a bedside fall during hospitalization for Pneumocystis jirovecii pneumonia. The patient experienced fever with chills and rigors, prompting antibiotic treatment. Imaging revealed an ischial tuberosity fracture with potential bone fragment retention in the bladder wall. Despite these complications, the patient was successfully treated with conservative management, including targeted antibiotic therapy, without surgical intervention. This case highlights the importance of considering urinary tract infections in elderly patients with pelvic fractures, even from low-energy trauma. Conservative treatment can be effective in managing extraperitoneal bladder injuries and associated infections, even in the presence of bone fragments. The successful outcome indicates that surgical intervention may not always be necessary when infection control is achieved through conservative measures.