Spontaneous Bladder Perforation Due to Giant Bladder Stone: A Case Report

Salar, Remzi; Özbay, Engin; Karlıdağ, İsmail; Durmuş, Emrullah; ONCEL, Halil; Özyuvalı, Ekrem; Yenigürbüz, Serkan; Yalçın, Metin

doi:10.5505/vtd.2017.84803

Cited by 4 publications

(5 citation statements)

References 5 publications

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“…These clinical conditions include renal failure as secondary to urinary retention (18). Similarly, there are studies in the literature reporting that bladder stones may cause spontaneous bladder perforations (19). Clinical studies performed in previous years demonstrate that complicated urinary tract infections appear to be the predisposing factor that should be considered carefully, especially in cases with neurogenic bladder (8,20).…”

Section: Discussionmentioning

confidence: 94%

Acute urinary retention accompanied by bladder stones

Kölükçü

Koyuncu

2019

Cumhuriyet Medical Journal

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The aim of this study was to evaluate patients presented with acute urinary retention and found to have bladder stones. Method: The records of 27 adult male patients presented to the emergency clinic with acute urinary retention between October 2011 and December 2017 were examined retrospectively. Patients' age, stone size, etiologic factors and treatment modalities were analyzed. Results: All patiens were male and the mean age was 60.41±15.71 (19-86) years. The main complaint of all patients was acute urinary retention. In addition, one patient had a feeling of fullness in the rectum, three had bilateral flank pain, five had high fever and four had renal failure. A total of nine (33.3%) patients were found to have stones localized in anywhere in the urinary tract along with bladder stones. All patients who had urogenital pathology pose a risk for bladder stone formation. The most common pathology was prostatic hyperplasia seen in 19 (70.4%) patients. Conclusions: We are of the opinion that it is very important to consider bladder stones among the preliminary diagnoses in patients presenting with acute urinary retention.

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Section: Discussionmentioning

confidence: 94%

Acute urinary retention accompanied by bladder stones

Kölükçü

Koyuncu

2019

Cumhuriyet Medical Journal

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“…Literatürde sadece üretral kateterizasyon sonrası mesane ruptürü bildiren olguların yanı sıra mesane taşına sekonder mesane perforasyonu bildiren olgu sunumları da mevcuttur (5,10). Bu hastada her ne kadar alt üriner sistem obstrüksiyonu hikayesi olsa da yakın zamanda medikal tedaviye ihtiyaç duymaması yanında cerrahi tedavi sonrası üretral sonda çekildikten sonra yapılan üroflowmetride işeme eğrisinde obstrüksiyon görülmemesi ve mesanede rezidüel idrar kalmaması kronik üriner retansiyona bağlı perforasyon ihtimalinden bizi uzaklaştırmıştır.…”

Section: Discussionunclassified

Nadir Bir Olgu; Akut Retansiyona Bağlı Spontan Mesane Perforasyonu

Varol¹,

Batmaz²,

Caylan³

et al. 2021

Akdeniz Medical Journal

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Mesane perforasyonları, nadir görülen ve intraperitoneal olduğu takdirde, hayatı tehdit edici boyuta ulaşabilen ürolojik acil cerrahi gerektiren durumlardan biridir. Nonspesifik semptomatolojisi ve nadir görülmesi nedeniyle tanıyı doğru koymak ve tedavisini planlamak zaman alabilmektedir. Burada bir olgu üzerinden intraperitoneal mesane perforasyonunun tanı, tedavi ve takip süreçlerinin hatırlanması amaçlanmıştır.

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“…Warfarin, a vitamin K antagonist, is a widely used medication in the treatment and prophylaxis of thromboembolic events [1]. Patients with various clinical conditions due to warfarin overdose present to emergency departments [2]. In addition to the clinical condition of the patient, it is also important to revert the international normalized ratio (INR) level back within the normal range when treating warfarin overdose.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous bladder rupture secondary to warfarin overdose: a case report

et al. 2019

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BackgroundWarfarin, a vitamin K antagonist, is a widely used medication for the treatment and prophylaxis of thromboembolic events. Patients with various clinical conditions due to warfarin overdose present to emergency departments. Although there may be serious bleeding due to a warfarin overdose, no bleeding may also be seen in some clinical conditions. Some of these bleedings may be life-threatening and result in death. Warfarin overdose and related cases of spontaneous bladder rupture are not frequently observed in the literature. We present a case of spontaneous bladder rupture due to warfarin overdose that was unexpectedly seen in a patient using warfarin for coronary artery disease and arrhythmia.Case presentationA 77-year-old Caucasian male patient was admitted to the emergency department with abdominal pain, haematuria, and a reduced volume of urine lasting for three days. The patient’s amount of urine was reduced, and he came to the hospital for the first time with this complaint. The patient had local bruises on his arms and legs. From the ultrasound, retrograde cystography and computed tomography images, it was thought that there was blood accumulation due to bladder rupture to the intraperitoneal region. Spontaneous bladder rupture secondary to warfarin overdose was considered for this patient who also had an international normalized ratio (INR) level of 13.4. After the INR level was normalized with vitamin K and a prothrombin complex concentrate, the patient underwent surgery. During the operation, a catheter was placed in the bladder, and the bladder mucosa and muscle were closed separately with a primary repair performed by a urologist. The patient was discharged on the 8th postoperative day without any complications.ConclusionIn addition to the known findings of warfarin overdose in these patients presenting to the emergency department, we think that the emergency department staff should suspect bladder rupture, which is a fatal complication in the presence of signs such as oliguria, haematuria, anuria, abdominal pain, and syncope.

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Spontaneous Bladder Perforation Due to Giant Bladder Stone: A Case Report

Cited by 4 publications

References 5 publications

Acute urinary retention accompanied by bladder stones

Acute urinary retention accompanied by bladder stones

Nadir Bir Olgu; Akut Retansiyona Bağlı Spontan Mesane Perforasyonu

Spontaneous bladder rupture secondary to warfarin overdose: a case report

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