A case of spontaneous urinary bladder rupture secondary to urinary retention due to an urethral stricture

Palthe, Selma; Dijkstra, G.; Steffens, M.G.

doi:10.1016/j.eucr.2018.01.009

Cited by 14 publications

(12 citation statements)

References 5 publications

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“…Various medical imaging modalities have been used to diagnose bladder perforations, including ultrasound, abdominal CT, conventional retrograde cystography, and CT-cystography [10] . However, conventional retrograde cystography and CT-cystography are currently the gold standards for bladder perforation diagnosis [11] . Abdominal ultrasound and contrast-enhanced CT with delayed phase have lower sensitivity and specificity than other methods [10] .…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies have reported that intraperitoneal bladder perforations can be treated with minimally invasive approaches, such as laparoscopic repair or percutaneous peritoneal drainage [12 , 13] . In addition, the treatment of complications, such as hyperkalemia, acidosis, and sepsis, play essential roles [11] . Bladder ruptures that are diagnosed at later stages may be fatal [14] .…”

Section: Discussionmentioning

confidence: 99%

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Extraperitoneal bladder perforation secondary to transurethral resection of bladder tumor

Luu

Duc

et al. 2021

Radiology Case Reports

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Transurethral resection of bladder tumor (TURBT) is one possible treatment approach for bladder tumors. Bladder wall perforation is one potential complication of TURBT. Signs of perforation include abdominal distension, the inability to distend the bladder, and the low retrieval of irrigation fluids. Peritonitis may occur if a perforation diagnosis is delayed. Early detection and diagnosis are crucial for the prevention of severe complications, such as peritonitis and sepsis. Here, we describe a case of a 69-year-old male with a bladder rupture secondary to TURBT.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Extraperitoneal bladder perforation secondary to transurethral resection of bladder tumor

Luu

Duc

et al. 2021

Radiology Case Reports

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“…Given that our patient had an elevated IPSS score prior to her second bladder perforation, increasing IPSS score is a useful tool to help predict subsequent rupture. Elevated serum creatinine can also be a diagnostic clue as longstanding intraperitoneal urine creatinine after rupture will be reabsorbed into the serum [ 3 , 7 – 9 ]. Diagnosis can be made with CT cystogram or a traditional cystogram [ 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

A Case of Idiopathic Recurrent Spontaneous Bladder Rupture

Bartholomew

Ahmeti

2021

Case Reports in Surgery

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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.

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“…Ultrasound can also make the diagnosis by instillation of saline and air into the bladder [ 11 ]. Cystoscopy is not recommended but can be used to place the urethral catheter in the cases of urethral stricture or false passage [ 16 ]. In our case, retrograde cystography was not performed because of the urinary tract infection, CT scan without contrast allowed us to make the diagnosis, and the exam positivity is due to the defect location which was not plugging during the radiological examination, and the large size of the diverticulum which was always filled with urine despite its perforation, probably because the diverticulum wall was not completely ruptured and because of the small size of the defect.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Intraperitoneal Rupture of Bladder Diverticulum: A Rare Cause of Peritonitis

Ibrahimi

Kallat²,

Ziani

et al. 2020

Case Reports in Urology

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Spontaneous rupture of acquired bladder diverticulum in an adult patient is an extremely rare pathological entity with only 15 cases reported in the available literature. Etiologies are dominated by bladder outlet obstruction, represented mainly by benign prostatic hypertrophy (BPH) in elderly men. Clinical presentation is nonspecific, leading to delayed diagnosis and treatment. Surgical management is the standard approach for intraperitoneal rupture of bladder diverticulum. The prognosis depends on the earliness of treatment, associated comorbidity, and the nature of underlying diseases. Herein, we report a rare case of a 65-year-old male patient, who presented a spontaneous rupture of a large acquired bladder diverticulum, secondary to acute urinary retention complicating benign prostatic hypertrophy. The diagnosis was suspected in the presence of generalized peritonitis associated with lower urinary tract symptoms (LUTS) and was confirmed accurately and promptly by a computed tomography (CT) of the abdomen and pelvis. The patient underwent a successful surgical excision of the diverticulum and bladder repair without delay. The postoperative course was uneventful, and he was discharged from the hospital without any complication.

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A case of spontaneous urinary bladder rupture secondary to urinary retention due to an urethral stricture

Cited by 14 publications

References 5 publications

Extraperitoneal bladder perforation secondary to transurethral resection of bladder tumor

Extraperitoneal bladder perforation secondary to transurethral resection of bladder tumor

A Case of Idiopathic Recurrent Spontaneous Bladder Rupture

Spontaneous Intraperitoneal Rupture of Bladder Diverticulum: A Rare Cause of Peritonitis

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