An Unusual Case of Spontaneous Bladder Perforation with Associated Autodialysis of the Ensuing Urinary Ascites

Spontaneous rupture of the urinary bladder is a rare occurrence, and when encountered it is a diagnostic challenge. We present an unusual case of urinary bladder rupture in a patient with severe cerebral palsy who initially presented with localized abdominal pain and during admission developed generalized peritonitis caused by bladder rupture. In this case, the patient had none of risk factors associated with urinary bladder.

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A Rare Case of Recurrent Generalized Peritonitis Caused by Spontaneous Urinary Bladder Rupture after Radiotherapy: A Case Report and Literature Review

Medicines ◽

10.3390/medicines8110067 ◽

2021 ◽

Vol 8 (11) ◽

pp. 67

Author(s):

Yusuke Watanabe ◽

Shun Yamazaki ◽

Hanako Yokoyama ◽

Shunta Yakubo ◽

Akihiko Osaki ◽

...

Keyword(s):

Urinary Bladder ◽

Literature Review ◽

Late Complication ◽

Accurate Diagnosis ◽

Diagnosis And Treatment ◽

Bladder Rupture ◽

Urinary Ascites ◽

Generalized Peritonitis ◽

Short Period ◽

History Of

Since generalized peritonitis is a fatal disease, accurate diagnosis and treatment are important. In this paper, we report a case of recurrent generalized peritonitis associated with spontaneous urinary bladder rupture (SBR). A 65 year old woman, who underwent radiotherapy 21 years prior, was diagnosed with generalized peritonitis. Although the cause of the generalized peritonitis could not be identified, the patient recovered with conservative treatment in short period. However, recurrent episodes of generalized peritonitis occurred four times. We diagnosed the patient with urinary ascites due to SBR, based on a history of radiotherapy and dysuria. No recurrence of generalized peritonitis had occurred after accurate diagnosis and treatment with long-term bladder catheter placement. Since SBR often occurs as a late complication after radiotherapy, it is difficult to diagnose SBR, which leads to delayed treatment. This case and literature review of similar cases suggest that the information of the following might be helpful in the diagnosis of SBR: (i) history of recurrent generalized peritonitis, (ii) pseudo-renal failure, (iii) history of radiotherapy, (iv) dysuria, and (v) increase or decrease of ascites in a short period. It is important to list SBR in the differential diagnosis by knowing the disease and understanding its clinical features. This case and literature review will serve as a reference for future practices.

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Spontaneous Rupture of Urinary Bladder: Two Case Reports and Review of Literature

Frontiers in Surgery ◽

10.3389/fsurg.2021.721705 ◽

2021 ◽

Vol 8 ◽

Author(s):

Yue Zhang ◽

Shuo Yuan ◽

Rami W. A. Alshayyah ◽

Wankai Liu ◽

Yang Yu ◽

...

Keyword(s):

Abdominal Pain ◽

Urinary Bladder ◽

Antibiotic Therapy ◽

Acute Abdomen ◽

Spontaneous Rupture ◽

Bladder Tumor ◽

Bladder Rupture ◽

Intraperitoneal Rupture ◽

History Of ◽

Ct Cystography

Objectives: Spontaneous rupture of the urinary bladder (SRUB) is extremely rare and might be misdiagnosed, leading to a high mortality rate. The current study aimed to identify the cause, clinical features, and diagnosis strategy of SRUB.Methodology: We presented a case report for two women (79 and 63 years old) misdiagnosed with acute abdomen and acute kidney injury, respectively, who were finally confirmed to have SRUB by a series of investigations and exploratory surgery. Meanwhile, literature from multiple databases was reviewed. PubMed, the Chinese National Knowledge Infrastructure (CNKI), the Chinese Biological Medical Literature Database (CBM), WANFANG DATA, and the Chongqing VIP database for Chinese Technical Periodicals (VIP) were searched with the keywords “spontaneous bladder rupture” or “spontaneous rupture of bladder” or “spontaneous rupture of urinary bladder.” All statistical analyses were conducted using SPSS 20.0 software.Results: A total of 137 Chinese and 182 English literature papers were included in this article review. A total of 713 SRUB patients were analyzed, including the two patients reported by us. The most common cause of SRUB was alcohol intoxication, lower urinary tract obstruction, bladder tumor or inflammation, pregnancy-related causes, bladder dysfunction, pelvic radiotherapy, and history of bladder surgery or bladder diverticulum. Most cases were diagnosed by exploratory laparotomy and CT cystography. Patients with extraperitoneal rupture could present with abdominal pain, abdominal distention, dysuria, oliguria or anuria, and fever. While the main symptoms of intraperitoneal rupture patients could be various and non-specific. The common misdiagnoses include acute abdomen, inflammatory digestive disease, bladder tumor or inflammation, and renal failure. Most of the patients (84.57%) were treated by open surgical repair, and most of them were intraperitoneal rupture patients. Overall, 1.12% of patients were treated by laparoscopic surgery, and all of them were intraperitoneal rupture patients. Besides, 17 intraperitoneal rupture patients and 6 extraperitoneal rupture patients were treated by indwelling catheterization and antibiotic therapy. Nine patients died of delayed diagnosis and treatment.Conclusions: 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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Spontaneous Rupture of Urinary Bladder (SRUB) in a Young Male, Presenting as Anuria – A Case Report and Review of Literature

The Open Urology & Nephrology Journal ◽

10.2174/1874303x01407010064 ◽

2014 ◽

Vol 7 (1) ◽

pp. 64-66

Author(s):

Sekar Hariharasudhan ◽

Sriram Krishnamoorthy ◽

Sunil Shroff

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Urinary Bladder ◽

Spontaneous Rupture ◽

Lower Abdominal Pain ◽

Young Male ◽

Bladder Rupture ◽

Emergency Laparotomy ◽

High Morbidity ◽

Delay In Diagnosis

Spontaneous rupture of urinary bladder is a rare condition. Most of the bladder ruptures occur in association with blunt or penetrating injuries to the lower abdomen. Most often, a vague lower abdominal pain is the mode of presentation. Rarely patients present with oliguria, anuria, uremia or urosepsis. A forty year old male, under the influence of alcohol, presented with lower abdominal pain and anuria for two days with abnormal renal function. He denied history of blunt trauma. He was diagnosed to have an intra-peritoneal rupture of urinary bladder. He underwent emergency laparotomy with repair of bladder rupture. This case report illustrates the need for a high index of clinical suspicion. Prompt diagnosis and appropriate management will help in preventing a poor clinical outcome in patients with spontaneous bladder perforation. If left untreated or if there is a considerable delay in diagnosis and intervention, it usually is associated with a high morbidity.

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Spontaneous hematometra: a rare cause of pain lower abdomen

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v14i1.26631 ◽

2019 ◽

Vol 14 (1) ◽

pp. 59-61

Author(s):

Rojina Manandhar ◽

Asha Singh ◽

Abhimanyu Shrestha ◽

Sebak Shrestha

Keyword(s):

Risk Factors ◽

Abdominal Pain ◽

Surgical Procedures ◽

Medroxyprogesterone Acetate ◽

Unusual Case ◽

Healthy Woman ◽

Rare Condition ◽

Lower Abdomen ◽

Surgical History ◽

Cause Of Pain

Hematometra is a rare condition that is most commonly associated with congenital anomalies and prior surgical procedures. This is an unusual case of spontaneous hematometra occuring in 32 years old healthy woman with no prior medical or surgical history. Till now only five cases of spontaneous hematometra without any risk factors have been reported. Keywords: abdominal pain, depot medroxyprogesterone acetate, hematometra

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An Unusual Iatrogenic Injury of Urinary Bladder Following Foley’s Catheterization

Pakistan Journal of Medicine and Dentistry ◽

10.36283/pjmd9-4/017 ◽

2020 ◽

Keyword(s):

Abdominal Pain ◽

Urinary Bladder ◽

Bladder Wall ◽

Signs And Symptoms ◽

Pelvic Trauma ◽

Iatrogenic Injury ◽

Bladder Rupture ◽

Bladder Diverticulum ◽

Urethral Trauma ◽

Prostatic Enlargement

Urinary bladder perforation is most commonly observed after pelvic trauma. It can also be a result of iatrogenic injury during various surgical procedures. Very rarely, diseased bladder can spontaneously rupture. Traumatic bladder rupture is a serious event with mortality rate approaching 50%. Urinary bladder diverticulae are present of the bladder wall and are a consequence of bladder outﬂow obstruction, for example in prostatic enlargement. Foley’s catheterization is most commonly associated commonly with urethral trauma. We presented a emphasis is made unique case of perforation of urinary bladder diverticulum after Foley’s catheterization. To the best of our knowledge, such a case has never been reported before in the medical literature. An emphasis was made on the fact that, physicians should keep in mind the differential of perforated urinary bladder while attending a patient with abdominal pain because the signs and symptoms are very non specificurinary bladder while attending a patient with abdominal pain just because its signs and symptoms are very non-speciﬁc. In addition, missing a perforated urinary bladder is easy and can result in signiﬁcant morbidity and mortality. Keywords: Bladder Diverticulum; Urinary Catheters; Perforation.

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Prevalence and Risk Factors Associated with Esophagitis in Children with Abdominal Pain

Korean Journal of Pediatric Gastroenterology and Nutrition ◽

10.5223/kjpgn.2008.11.2.103 ◽

2008 ◽

Vol 11 (2) ◽

pp. 103 ◽

Cited By ~ 6

Author(s):

Hyun Jung Kwon ◽

Dae Yong Yi ◽

Eell Ryoo ◽

Kang Ho Cho ◽

Dong Woo Son ◽

...

Keyword(s):

Risk Factors ◽

Abdominal Pain ◽

Factors Associated

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Human toxocariasis: a seroepidemiological survey in the Amazonian city of Yurimaguas, Peru

Revista do Instituto de Medicina Tropical de São Paulo ◽

10.1590/s0036-46652010000100006 ◽

2010 ◽

Vol 52 (1) ◽

pp. 37-42 ◽

Cited By ~ 22

Author(s):

William H. Roldán ◽

Yuri A. Cavero ◽

Yrma A. Espinoza ◽

Susana Jiménez ◽

César A. Gutiérrez

Keyword(s):

Risk Factors ◽

Abdominal Pain ◽

General Population ◽

Respiratory Compromise ◽

Public Places ◽

Future Studies ◽

Factors Associated ◽

Ocular Manifestations ◽

Intestinal Pathogen ◽

Almost All

The aim of this study was to determine the seroprevalence of the infection by Toxocara in the general population of the Amazonian city of Yurimaguas, Peru. From March to August 2008, a total of 300 subjects were sampled and tested by means of a Toxocara ELISA-IgG test. A clinical and epidemiological questionnaire was used to assess the symptomatology and risk factors associated with human toxocariasis. The overall rate of seropositivity was 35.66%, with a significant high proportion in children (p < 0.001). The clinical evaluation revealed that 95.33% of the seropositive group had some type of symptomatology: headache (66.36%), respiratory compromise (63.55%), abdominal pain (54.21%), cutaneous signs (40.19%) and ocular manifestations (36.45%), and almost all of them were statistically significant (p < 0.001). Furthermore, 56.07% of the seropositive subjects presented at least one intestinal pathogen parasite with predominance of helminthes, but without significant association (p = 0.334). The analysis of risk factors showed only that the use of public places and geophagia exhibited a significant association with the seropositivity (p < 0.001). Clinical, serological and epidemiological findings associated to infection with Toxocara were observed in the present study and future studies should be done to assess this serious health problem.

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