Spontaneous Bladder Perforation: An Unusual Management Problem of Tuberculous Cystitis

Spontaneous Intra-Peritoneal Perforation of the Bladder Secondary to Peritoneal Tuberculosis

“…Spontaneous bladder perforation is a rare event, which may occur secondary to pelvic radiotherapy, malignancy or previous surgical reconstruction [1][2][3]. Rare associations with genitourinary tuberculosis have been described [4]. However, this is the first reported case of spontaneous intra-peritoneal bladder perforation arising as a complication of peritoneal tuberculosis.…”

“…Therefore cystography, although previously considered the standard for diagnosis, is rarely performed. Alternatively, diagnosis can be made by cystoscopy, computed tomography (CT) or surgical exploration [1,2,4]. CT has been shown to be superior to conventional cystography for detecting bladder rupture [1,5].…”

Spontaneous bladder perforation: a rare complication of tuberculosis

“…To date, there are only three cases reported in the English literature. [6][7][8] Other causes of spontaneous bladder perforation include infections like schistosomiasis, inflammation of the bladder like eosinophilic cystitis, interstitial cystitis, enterocystoplasty, pelvic radiotherapy, malignant bladder tumors, erosion from indwelling catheter and giant vesical calculus, intra-arterial chemotherapy, atherosclerotic embolus, and following normal vaginal delivery. 9 In most cases, the diagnosis was not obvious during initial evaluation.…”

Spontaneous Bladder Perforation Due to Tuberculosis

“…The authors even alluded that the intraoperative findings were suggestive of chronic infection and they had suspected tuberculosis. Anti-tuberculosis treatment should have been instituted empirically and this has been shown to be effective in 2 previous cases reported where the patients survived [2,3].…”