Conservative management of delayed presentation of intraperitoneal bladder rupture following caesarean delivery: A case report

Aghaways, Ismaeel; Bapir, Rawa; Hawrami, Tahir; Thahir, Nishtman M.; Hassan, Mohammed Abed Al Kadum; Hassan, Karzan Mohammed Salih

doi:10.1016/j.ijscr.2019.04.050

Cited by 10 publications

(11 citation statements)

References 10 publications

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“…Meanwhile, bladder ruptures are managed depending on their type, either being intraperitoneal with a 25% occurrence rate, or extraperitoneal with an occurrence of 60-65%) [ 4 ]. Aghaways et al previously reported a similar case of bladder injury that was managed with a Foley catheter and percutaneous intraperitoneal pigtail catheter and omitted the surgical intervention due to the instability of the patient [ 6 ]. Afterwards, the patient responded well to conservative management without the need for surgical intervention [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Aghaways et al previously reported a similar case of bladder injury that was managed with a Foley catheter and percutaneous intraperitoneal pigtail catheter and omitted the surgical intervention due to the instability of the patient [ 6 ]. Afterwards, the patient responded well to conservative management without the need for surgical intervention [ 6 ]. Furthermore, it has been documented in the literature that cases of uncomplicated EPBI due to pelvic fractures can be managed conservatively with a large-bore catheter for a three-week duration [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

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Non-Operative Management of Iatrogenic Intraperitoneal Bladder Injury Following a Cesarean Section

Albukhari¹,

Khawaji

Azhar³

2021

Cureus

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Iatrogenic bladder injuries with intraperitoneal extravasations are standardly managed surgically. However, we are presenting a case of iatrogenic intraperitoneal bladder injury developing after a cesarean section that was managed successfully by conservative therapy after tapping and pigtail drainage of 14 days. On the next follow up, which was 14 days later, there was a complete resolution with no signs of injury. Therefore, the trial of conservative approach may prove beneficial to minimize the chances of any invasive interventions in such cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Non-Operative Management of Iatrogenic Intraperitoneal Bladder Injury Following a Cesarean Section

Albukhari¹,

Khawaji

Azhar³

2021

Cureus

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“…Conservative management protects patients from anaesthetic risks and surgical complications [ 6 ]. Nonoperative management of bladder perforation could either be in the form of insertion of an indwelling transurethral Foley catheter alone or a combination of bladder and peritoneal drainage [ 8 ]. Studies have shown that nonoperative treatment for intraperitoneal bladder rupture is appropriate if there is no associated organ injury that requires laparotomy and if there is availability of adequate bladder drainage and no complications such as peritonitis [ 4 , 14 ], all features that were achieved in this patient.…”

Section: Discussionmentioning

confidence: 99%

“…Rupture of the bladder is an uncommon complication of EC that may have grave consequences if not diagnosed and treated early [4]. For smaller intraperitoneal bladder ruptures, recent reports have shown that a conservative approach may be sufficient if urinary antibiotic prophylaxis is continued after initial antibiotic therapy, and continued urinary drainage through an indwelling catheter is provided for a minimum of two weeks, until closure of the perforation is evident on the CT cystogram [5][6][7][8]. Similarly, certain international guidelines have recently adopted a conservative approach in the management of small, uncomplicated intraperitoneal bladder perforations [9].…”

Section: Introductionmentioning

confidence: 99%

A Complex Case of Emphysematous Cystitis in a Peritoneal Dialysis Patient

Okello

Rajesh

2021

Case Reports in Nephrology

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Emphysematous cystitis (EC) is a relatively rare condition characterized by gas formation in the bladder wall and/or lumen. We report a case of emphysematous cystitis with a bladder perforation in an 84-year-old male on peritoneal dialysis who presented with fever, dysuria, hematuria, and hypotension. Gas in the bladder wall, as well as a small perforation in the roof of the urinary bladder, was seen on the abdominal CT scan. The causative organism identified was Escherichia coli. The patient recovered with broad-spectrum antibiotics along with bladder irrigation and drainage. After initial bladder washouts, peritoneal dialysis was continued with close monitoring. Early antibiotic therapy and a conservative approach to the management of small intraperitoneal bladder perforations were effective in this patient. Peritoneal dialysis was uninterrupted for the duration of the admission and after discharge.

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“…The definitive treatment for intraperitoneal bladder rupture typically involves surgical repair [1]. However, conservative treatment with urinary drainage is an alternative management strategy associated with favorable outcomes without any complications [3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

A Rare Case of Pelvic Abscess Due to Spontaneous Non-traumatic Bladder Rupture

Inoguchi¹,

Hongo²,

Naito³

et al. 2021

Cureus

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Spontaneous bladder rupture is an uncommon and life-threatening urological emergency, and early diagnosis is often challenging. Herein, we report a case of intraperitoneal bladder rupture in an 81-year-old male with neurogenic bladder-the case of intraperitoneal bladder rupture required late laparotomy for pelvic abscess following initial conservative treatment.An eighty-one-year-old male presented to our emergency department with deterioration of consciousness, fever, and hematuria. He denied previous trauma history and had been treated for neurogenic bladder. Physical examination revealed signs of tenderness in the abdomen. A diagnosis of bladder rupture was made based on laboratory examination indicating renal failure and radiological imaging showing urinary ascites. Conservative management with a Foley catheter and antibiotics (meropenem administered 1 g/day) was initiated. On day seven after admission, the patient complained of abdominal pain and fever, and a diagnosis of pelvic abscess based on contrast-enhanced computed tomography and septic peritonitis was made. An emergency exploratory laparotomy for peritoneal drainage was performed. The postoperative course was uneventful, and the patient was discharged on day 29 after admission.Urinary bladder rupture should always be considered as a differential diagnosis in patients presenting with free fluid in the abdomen, peritonitis, reduced urine output, and hematuria. Clinicians should be aware that secondary bacterial peritonitis can occur as a major complication of a ruptured urinary bladder.

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Conservative management of delayed presentation of intraperitoneal bladder rupture following caesarean delivery: A case report

Cited by 10 publications

References 10 publications

Non-Operative Management of Iatrogenic Intraperitoneal Bladder Injury Following a Cesarean Section

Non-Operative Management of Iatrogenic Intraperitoneal Bladder Injury Following a Cesarean Section

A Complex Case of Emphysematous Cystitis in a Peritoneal Dialysis Patient

A Rare Case of Pelvic Abscess Due to Spontaneous Non-traumatic Bladder Rupture

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