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

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.

scholarly journals Spontaneous Rupture of Urinary Bladder (SRUB) in a Young Male, Presenting as Anuria – A Case Report and Review of Literature

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.

scholarly journals Post Circumcision Intraperitoneal Rupture of the Urinary Bladder: A Rare Complication

2020 ◽  
Vol 08 (01) ◽  
pp. e14-e17
Author(s):  
Sherif Abdelmaksoud ◽  
Mohammed Albishbishy ◽  
Mostafa Elayyouti ◽  
Mohamed Zohiri ◽  
Adham Elsaied
Keyword(s):  
Urinary Bladder ◽  
Rare Case ◽  
Rare Complication ◽  
Bladder Wall ◽  
Abdominal Distension ◽  
Bladder Rupture ◽  
Postoperative Course ◽  
Intraperitoneal Rupture ◽  
The World ◽  
Intraperitoneal Bladder Rupture

AbstractCircumcision is one of the most common pediatric surgical procedures performed all over the world and especially in Arab and Islamic countries. Many complications have been documented following this maneuver. We report on a rare case of intraperitoneal bladder rupture in a 7-day-old baby who was circumcised on his second day using the guillotine method. He presented to us with gangrene of the tip of the penis and a failure to void urine associated with progressive abdominal distension. Ultrasound revealed severe ascites. Aspiration and analysis confirmed the fluid to be urine. Ascending cystourethrogram was performed revealing a perforation of the posterior bladder wall near the trigone. Exploration was performed and repair done. Postoperative course was uneventful.

scholarly journals Traumatic urinary bladder rupture: the usefulness of CT cystography

2013 ◽  
Vol 96 (2) ◽  
pp. 90
Author(s):  
P Montigny ◽  
J Pringot ◽  
M F Billemont ◽  
P Matthys
Keyword(s):  
Urinary Bladder ◽  
Bladder Rupture ◽  
Ct Cystography

scholarly journals Sorafenib, Risk of Bleeding and Spontaneous Rupture of Hepatocellular Carcinoma. A Clinical Case

2011 ◽  
Vol 54 (4) ◽  
pp. 177-179 ◽  
Author(s):  
Ferdinando Rombolà ◽  
Angelo Caravetta ◽  
Francesco Mollo ◽  
Antonio Spinoso ◽  
Lenino Peluso ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Cirrhosis ◽  
Abdominal Pain ◽  
Spontaneous Rupture ◽  
Clinical Case ◽  
Multikinase Inhibitor ◽  
Advanced Hcc ◽  
Risk Of Bleeding ◽  
Good General Condition ◽  
History Of

Spontaneous rupture is a rare and dramatic complication of hepatocellular carcinoma (HCC), burdened by a high mortality. Here we describe a case of a 73-year-old man, who arrived at the ER because of syncope, and acute epigastric and right upper quadrant abdominal pain. He had a history of hepatitis C-related liver cirrhosis and HCC in treatment with sorafenib. The physical examination showed a state of hemorrhagic anemia with the presence of blood in the peritoneal cavity. The patient underwent an urgent liver resection. Thirty days after surgery, he was in good general condition. Sorafenib is a multikinase inhibitor recently introduced in the therapy of patients with advanced HCC. Among the various side effects reported in patients treated with sorafenib, there is a higher risk of bleeding. In conclusion, sorafenib may increase the risk of bleeding and rupture of HCC in susceptible individuals.

scholarly journals Primary omental infarction: a report of a series of cases in an Indian tertiary care hospital

2020 ◽  
Vol 7 (5) ◽  
pp. 1623
Author(s):  
Ruru Ray ◽  
Ann Sunny ◽  
Giridhar Ashwath ◽  
Anthony Prakash Rozario ◽  
Rahul Sima
Keyword(s):  
Abdominal Pain ◽  
Acute Abdomen ◽  
Surgical Intervention ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Abdominal Abscess ◽  
Short History ◽  
Omental Infarction ◽  
History Of

Primary omental infarction is a relatively rare and often presents as right sided abdominal pain. It is often diagnosed as appendicitis and is usually picked up intra-operatively, or - as often seen nowadays - on imaging. We describe a series of four cases of primary omental infarction that presented to us with varying clinical features. Three of them had a short history of right sided abdominal pain, whereas the fourth patient had a longer history of left sided abdominal pain. All 4 were managed operatively, with the fourth having presented with an intra-abdominal abscess that required laparotomy. Primary omental infarction is a diagnosis which must be considered in any case of acute abdomen. Cases diagnosed with certainty on imaging may be managed conservatively but must be followed up closely. Need for surgical intervention should be considered in select cases.

scholarly journals A Case of Idiopathic Recurrent Spontaneous Bladder Rupture

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Reid Bartholomew ◽  
Mentor Ahmeti
Keyword(s):  
Abdominal Pain ◽  
Operating Room ◽  
Neurogenic Bladder ◽  
Bladder Rupture ◽  
Contrast Extravasation ◽  
Spontaneous Bladder Rupture ◽  
Ischemic Bowel ◽  
History Of ◽  
Radiation Stricture ◽  
Elevated Creatinine

Background. A female patient presented four years following spontaneous bladder rupture with a recurrent spontaneous bladder rupture. Summary. Urinary bladder rupture is a condition usually caused by trauma or surgical instrumentation. Spontaneous bladder rupture is a much more uncommon condition and is associated with intoxication, radiation, stricture, or neurogenic bladder. We describe a case of a 40-year-old woman with a history of three caesarian sections with an idiopathic recurrent spontaneous bladder rupture. Originally, she presented with one day of worsening severe abdominal pain. CT showed possible ischemic bowel. She was taken to the operating room (OR) and found to have a bladder rupture. This was repaired, and she did well postoperatively. Four years later, she presented to the emergency department (ED) with one week of worsening abdominal pain that became severe acutely. Given that she had a similar issue four years prior the patient was suspicious, her bladder was again ruptured. CT cystogram showed contrast extravasation into the peritoneum. The patient was taken urgently to the operating room for an open repair of the bladder rupture. She did well following the procedure. Conclusion. Spontaneous bladder rupture is a surgical emergency and should be in the differential diagnosis of any patient with peritonitis with elevated creatinine and free intraperitoneal fluid. This diagnosis should especially be considered if the patient has a history pelvic radiation, neurogenic bladder, or intoxication. We submit that a history of multiple pelvic surgeries should be included in this list. CT cystogram is the diagnostic test of choice. Operative repair is generally the treatment for this condition.

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

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.

scholarly journals ACUTE ABDOMEN systemic sonographic approach to acute abdomen in emergency department: a case series

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Maryam Al Ali ◽  
Sarah Jabbour ◽  
Salma Alrajaby
Keyword(s):  
Abdominal Pain ◽  
Acute Abdomen ◽  
Patient Management ◽  
Physical Exam ◽  
Bedside Ultrasound ◽  
Free Fluid ◽  
Bowel Loop ◽  
Point Of Care Ultrasound ◽  
Diagnosis And Management ◽  
History Of

Abstract Background Acute abdomen is a medical emergency with a wide spectrum of etiologies. Point-of-care ultrasound (POCUS) can help in early identification and management of the causes. The ACUTE–ABDOMEN protocol was created by the authors to aid in the evaluation of acute abdominal pain using a systematic sonographic approach, integrating the same core ultrasound techniques already in use—into one mnemonic. This mnemonic ACUTE means: A: abdominal aortic aneurysm; C: collapsed inferior vena cava; U: ulcer (perforated viscus); T: trauma (free fluid); E: ectopic pregnancy, followed by ABDOMEN which stands: A: appendicitis; B: biliary tract; D: distended bowel loop; O: obstructive uropathy; Men: testicular torsion/Women: ovarian torsion. The article discusses two cases of abdominal pain the diagnosis and management of which were directed and expedited as a result of using the ACUTE–ABDOMEN protocol. The first case was of a 33-year-old male, who presented with a 3-day history of abdominal pain, vomiting and constipation. Physical exam revealed a soft abdomen with generalized tenderness and normal bowel sounds. Laboratory tests were normal. A bedside ultrasound done using the ACUTE–ABDOMEN protocol showed signs of intussusception. This was confirmed by CT-abdomen. The second case was of a 70-year-old female, a known case of diabetes and hypertension, who presented with a 3-hour history of abdominal pain, vomiting and diarrhea. She had a normal physical exam and laboratory studies. Her symptoms mimicking simple gastroenteritis had improved. However, bedside ultrasound, using the ACUTE–ABDOMEN protocol showed localized free fluid with dilated small bowel loop in right lower quadrant with absent peristalsis. A CT abdomen confirmed a diagnosis of intestinal obstruction. These two cases demonstrate that the usefulness of applying POCUS in a systematic method—like the “ACUTE–ABDOMEN” approach—can aid in patient diagnosis and management. Case presentation We are presenting two cases of undifferentiated acute abdomen pain, where ACUTE ABDOMEN sonographic approach was applied and facilitated the accurate patient management and disposition. Conclusion ACUTE ABDOMEN sonographic approach in acute abdomen can play an important role in ruling out critical diagnosis, and can guide emergency physician or any critical care physician in patient management.

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