Idiopathic Urinary Bladder Perforation in Early Childhood

Alshareef, Turki; Almaiman, Weiam; Figueroa, Víctor; Gooden, Marsha A; Bägli, Darius; Harvey, Elizabeth

doi:10.1016/j.ekir.2018.07.022

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…Although we thoroughly investigated our patient, we found no primary or secondary causes. Multiple cases were reported as idiopathic and spontaneous, Alshareef et al described a case of a 2.5-year-old patient who presented with ascites and acute kidney injury, who was also managed surgically as in our case; interestingly, when inserting a Foley catheter, it alleviated the symptoms dramatically and corrected biochemical abnormalities [6].…”

Section: Discussionsupporting

confidence: 51%

Spontaneous urinary bladder perforation presenting as bowel obstruction in a child: a case report

et al. 2023

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Background Spontaneous perforation of the urinary bladder is a rare disease entity. Due to its rarity, it is often hard to diagnose. Case presentation We present a case of a 2-year-old patient who presented with bowel obstruction and renal failure after scheduled correctional vertebroplasty due to congenital kyphosis. During exploratory laparotomy, two perforations were found at the dome of the urinary bladder, and an idiopathic spontaneous perforation of the urinary bladder was diagnosed. Primary double repair of the perforations was done, and no primary or secondary cause of the perforation was found. Conclusion The constellation of an acute abdomen and abnormal kidney function tests should increase the index of suspicion towards urinary bladder perforation. Due to its rarity, exploratory laparotomy is the gold standard method of diagnosis and treatment.

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Section: Discussionsupporting

confidence: 51%

Spontaneous urinary bladder perforation presenting as bowel obstruction in a child: a case report

et al. 2023

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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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4/w mit Bauchschmerzen nach Verkehrsunfall

Eder

2021

Urologe

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Idiopathic Urinary Bladder Perforation in Early Childhood

Cited by 3 publications

References 10 publications

Spontaneous urinary bladder perforation presenting as bowel obstruction in a child: a case report

Spontaneous urinary bladder perforation presenting as bowel obstruction in a child: a case report

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

4/w mit Bauchschmerzen nach Verkehrsunfall

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