Nonoperative treatment for intraperitoneal bladder rupture

Geng, Jiun-Hung; Chang, Hsiao-Chun; Chung, Shiu-Dong; Chen, Pei-Hwei; Chiu, Bin; Tsai, Chung-You; Yang, Chiou-Ying; Hung, Shun-Fa

doi:10.1016/j.urols.2013.05.012

Cited by 17 publications

(21 citation statements)

References 6 publications

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“…Extraperitoneal ruptures (EPR) are generally managed conservatively, while intraperitoneal ruptures (IPR) are usually treated surgically. However, there is increasing evidence on conservative management of IPR in the absence of associated injuries or large perforations and sepsis and maintaining continuous bladder drainage [10, 11]. In our case, it could have been an IPR in view of the final position in the peritoneal cavity after the catheter had been pulled back.…”

Section: Discussionmentioning

confidence: 80%

Successful Tenckhoff catheter salvage in a patient with peritoneovesical fistula: A case report

Makkena

Bandi

Anandkumar

et al. 2019

CNCS

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Introduction: Many techniques are available for inserting peritoneal dialysis (PD) or continuous ambulatory peritoneal dialysis (CAPD) catheters, with varying possible complications. We report a case of bladder perforation that was managed with catheter salvage. Case report: A 48-year-old man with end-stage renal disease (ESRD) underwent CAPD catheter placement percutaneously, with tip in the pelvis. On the 3 rd day after placement, the patient complained of increase in urinary volume with PD flushing. Urine analysis showed 3(+) glucose and absent creatinine. Cystogram showed the catheter abutting the bladder wall. CT of the abdomen showed the catheter piercing the bladder and exiting through the posterior wall. The PD catheter was repositioned under fluoroscopy. Discussion: The complications surrounding insertion of CAPD catheter can be either mechanical or infectious. Peritoneo-vesical fistula or placement of the PD catheter into the urinary bladder is a very rare complication. The possibility of catheter salvage should be entertained while discussing management options.

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Section: Discussionmentioning

confidence: 80%

Successful Tenckhoff catheter salvage in a patient with peritoneovesical fistula: A case report

Makkena

Bandi

Anandkumar

et al. 2019

CNCS

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“…Although surgical repair is regarded as a standard care for intraperitoneal bladder injury, there are multiple successful trials of nonoperative management in the literature; among them are intraperitoneal bladder perforations during transurethral resection of bladder tumor, spontaneous bladder rupture and bladder rupture due to blunt trauma. Nonoperative management includes indwelling transurethral Foley catheter alone, percutaneous peritoneal drain alone or combined Foley catheter and percutaneous peritoneal drain for complete drainage [[6], [7], [8], [9], [10]]. In the study of Agrusa et.…”

Section: Discussionmentioning

confidence: 99%

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

Aghaways

Bapir

Hawrami

et al. 2019

International Journal of Surgery Case Reports

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Highlights Bladder injury is an uncommon complication of cesarean delivery with an incidence ranging from 0.0016% to 0.94%. Delayed blabber rupture post CD may present with urinary ascites and elevated serum creatinine mimicking acute kidney injury. Cystography is the diagnostic imaging of choice with the reported accuracy of 85%–100%. Surgical repair is the treatment of choice for intraperitoneal bladder injury. Conservative management with intraperitoneal and urethral catheter may succeed in properly selected cases.

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“…Osman et al [13] presented four pediatric cases of intraperitoneal bladder rupture with conservative treatment who had significantly shorter hospital stays (3–11 days) than cases involving surgical repairs (6–23 days). There are also case reports of successful conservative treatment of traumatic intraperitoneal bladder rupture in adult patients [14, 15]. Hayakawa et al [14] presented a case of blunt traumatic intraperitoneal bladder rupture and severe pelvic fracture, which required transcatheter arterial embolization and bone fixation.…”

Section: Discussionmentioning

confidence: 99%

“…Conservative treatment was considered to have less likely resulted in infectious consequences and additional bleeding. Geng et al [15] also reported a case of intraperitoneal bladder rupture without surgical repair using the urethral catheter alone. As the incidence of lower urinary tract injury in association with pelvic fracture is lower in children (1%) than in adults (10–25%) [8], pediatric patients may be more likely to become adapted to conservative treatment without surgical repairs in comparison to adult patients.…”

Section: Discussionmentioning

confidence: 99%

Successful Conservative Treatment of Traumatic Intraperitoneal Bladder Rupture in a Child: A Case Report

et al. 2019

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The urinary bladder is protected by the pelvic bones and hence is a site less susceptible to external force injury than other organs. As children’s bones are not fully developed, the risk of bladder injury by external force is greater in children than adults. Pelvic fractures often cause the bladder to rupture, as do strong external forces when the bladder is filled. Bladder rupture is categorized as extraperitoneal or intraperitoneal, and treatments differ between the two. Extraperitoneal injury usually heals after drainage alone, whereas intraperitoneal injury usually requires surgical intervention such as a combination of surgical repairs and drainage. Herein, we report a pediatric case of intraperitoneal bladder rupture successfully treated without surgical repair (i.e., with drainage via an intraperitoneal tube and a urethral catheter only). Our report suggests that nonoperative treatment is an option for pediatric patients with intraperitoneal bladder rupture if certain conditions are met.

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Nonoperative treatment for intraperitoneal bladder rupture

Cited by 17 publications

References 6 publications

Successful Tenckhoff catheter salvage in a patient with peritoneovesical fistula: A case report

Successful Tenckhoff catheter salvage in a patient with peritoneovesical fistula: A case report

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

Successful Conservative Treatment of Traumatic Intraperitoneal Bladder Rupture in a Child: A Case Report

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