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

Pal, Rekha; Terry, Tim; Khan, Masood A.

doi:10.1016/j.bjmsu.2009.05.002

Cited by 3 publications

(2 citation statements)

References 6 publications

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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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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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“…Atraumatic bladder rupture is rare and a medical emergency. Few cases of tuberculous and candida cystitis leading to bladder rupture have been described,[789] however, to the best of our knowledge, this is the first reported case of bladder rupture from recurrent bacteria cystitis in a patient with ESRD. Although UTIs are commonly encountered in hospitalized chronic dialysis patients, Candida is the most frequently observed pathogen.…”

Section: Discussionmentioning

confidence: 97%

Bladder necrosis and perforation in end-stage renal disease and recurrent urinary tract infection: A rare medical emergency

Olanipekun

Effoe

Turner

et al. 2019

Int J Crit Illn Inj Sci

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Bladder necrosis and perforation is a rare and life-threatening medical emergency. Risk factors include trauma, malignancy, previous surgery and/or radiation therapy and diabetes mellitus. Signs, symptoms, and imaging findings are often obscure making the diagnosis difficult. Urinary tract infection is common in end-stage renal disease (ESRD) patients who have residual urine production and associated with increased complication and mortality rates. We describe the case of a 57-year-old female with a medical history of recurrent cystitis, type 2 diabetes mellitus and ESRD on hemodialysis that was admitted for septic shock and presumed ischemic colitis. Urine and blood microbiology studies were notable for Escherichia coli . By the second day of hospital admission, her clinical condition significantly deteriorated and was later found to have bladder necrosis and rupture during laparotomy for suspected peritonitis. It is important that clinicians recognize bladder rupture as a potential complication of recurrent bacterial cystitis in ESRD patients on dialysis.

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Spontaneous Intraperitoneal Perforation of the Bladder Secondary to Tuberculosis

Sallami¹,

Gargouri²,

Taveb³

et al. 2010

UIJ

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

Cited by 3 publications

References 6 publications

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

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

Bladder necrosis and perforation in end-stage renal disease and recurrent urinary tract infection: A rare medical emergency

Spontaneous Intraperitoneal Perforation of the Bladder Secondary to Tuberculosis

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