Acute abdomen due to bladder perforation in a patient with multiple sclerosis

Habek, Dubravko; Pavelić-Turudić, Tatjana; Vukelić, Milka; Mazul-Sunko, Branka

doi:10.2478/s11536-012-0136-3

Cited by 3 publications

(2 citation statements)

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“…Once exclusion criteria were applied to the abstracts, 352 studies remained for full‐text review. After again applying the exclusion criteria to the full texts, a total of 278 manuscripts remained and were included in the final review […”

Section: Resultsmentioning

confidence: 99%

Spontaneous (idiopathic) rupture of the urinary bladder: a systematic review of case series and reports

et al. 2023

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Objectives To perform a systematic review of all cases of spontaneous rupture of the urinary bladder (SRUB) and to describe the demographic data, associated comorbidities, clinical presentation, diagnosis, relevant laboratory findings, associated factors, management, morbidity and mortality associated with the presentation of SRUB. Methods The study protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO). A search was carried out across the following electronic databases: PubMed, Web of Science, Scopus, Google Scholar and the Cochrane Database of Systematic Reviews. Full texts of selected studies were analysed, and data extracted. The review was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA). Results A total of 278 articles comprising 240 case reports and 38 case series, with a total of 351 patients were included. The median (interquartile range [IQR]) age of all included patients was 47.5 (33–65) years. The median (IQR) time to presentation was 48 (24–96) h, with the major presenting symptom being abdominal pain (76%). In patients in whom the diagnosis was made prior to any intervention, the condition was misdiagnosed in 64% of cases. The diagnosis was confirmed during explorative open surgery in 42% of cases. Pelvic radiation (13%) and alcohol intoxication (11%) were the most common associated factors. Intraperitoneal rupture (89%) was much more common, with the dome of the bladder being most frequently involved (55%). The overall mortality was 15%. Conclusion This review identified a number of key factors that appear to be associated with an increased incidence of SRUB. It also emphasized the high rate of misdiagnosis and challenge in confirming the diagnosis. Overall, it highlighted the importance of the need for increased awareness and maintaining a high index of suspicion for this condition.

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Section: Resultsmentioning

confidence: 99%

Spontaneous (idiopathic) rupture of the urinary bladder: a systematic review of case series and reports

et al. 2023

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“…[10][11][12] The cardinal sign of gross haematuria is uncommon, especially in the first 24 to 36 hours of rupture. 9,13,14 Signs of progressive abdominal distension with anuria, or frank discrepancy between bladder irrigation balance should prompt further investigations. In the presence of urinary ascites, urea and creatinine are actively absorbed through the peritoneal membrane falsely mimicking acute renal impairment.…”

Section: Constant Urinary Drainage Generates Intravesical Pressure DImentioning

confidence: 99%

Urinary bladder rupture secondary to indwelling catheterisation: two case reports

Tam

Yuen

et al. 2020

Asian Journal of Gerontology and Geriatrics

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Iatrogenic bladder perforation from urethral catheterisation is uncommon and can be unrecognised on presentation, with no haematuria or frank peritoneal signs. We report delayed diagnosis of two cases of urinary bladder rupture secondary to long-term indwelling catheter to highlight the 'red-flag' symptomatology and management approach. Health care professionals should keep a high index of suspicion, especially in patients with bladder pathology.

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Acute Abdomen Syndrome Due To Spontaneous Intraperitoneal Bladder Rupture Following Vaginal Delivery

Habek

Márton

Luetić

et al. 2017

Z Geburtshilfe Neonatol

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Acute abdomen due to bladder perforation in a patient with multiple sclerosis

Abstract: AbstractThe authors presented a case report of the acute abdomen with pelvic abscess because bladder perforation in a 21-year-old patient with multiple sclerosis and intermittent catheterization of the urinary bladder.

Cited by 3 publications

References 4 publications

Spontaneous (idiopathic) rupture of the urinary bladder: a systematic review of case series and reports

Spontaneous (idiopathic) rupture of the urinary bladder: a systematic review of case series and reports

Urinary bladder rupture secondary to indwelling catheterisation: two case reports

Acute Abdomen Syndrome Due To Spontaneous Intraperitoneal Bladder Rupture Following Vaginal Delivery

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