Spontaneous Rupture of the Bladder

Kamat, Madhav; Corgan, Francis J.; Seebode, Joseph J.

doi:10.1001/archsurg.1970.01340240073015

Cited by 8 publications

(5 citation statements)

References 7 publications

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“…In many cases where open repair was performed, the patient was taken for an exploratory laparotomy where SRUB was an incidental finding [272,274,279,280]. After excluding patients who were incidentally diagnosed with SRUB at exploratory laparotomy, a higher proportion of patients were managed conservatively (47/195; 24% vs. 47/351; 13%).…”

Section: Discussionmentioning

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: Discussionmentioning

confidence: 99%

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

et al. 2023

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“…The classical triad of lower abdominal pain, guarding and rigidity, together with the passage of blood stained urine, is not always obtained and pre-operative diagnosis (Kamat, 1970) will be difficult in the absence of a history of trauma or obstruction, unless the condition is thought of. A micturating cysto-urethrogram is often normal, and may be difficult to interpret especially if irregularity at the site of rupture is mistaken for a diverticulum (Thompson, 1965).…”

Section: Discussionmentioning

confidence: 99%

“…A micturating cysto-urethrogram is often normal, and may be difficult to interpret especially if irregularity at the site of rupture is mistaken for a diverticulum (Thompson, 1965). Although conservative treatment has been successfully employed on occasion (Kamat, 1970), surgical excision and suture of the perforation in 2 layers and continuous catheter drainage have proved to be satisfactory in most of the recorded cases (Baker, 1964;Yarwood, 1959).…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Rupture of the Bladder in a Child

Aberdeen

1973

J Paediatr Child Health

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“…It is abundantly clear that any case of lower urinary tract trauma requires thorough investigation of the whole urinary tract; otherwise any second site of damage will be missed and the child may later present with loss of renal function or with urethral stricture (Rexford, 1939;Mitchell, 1968 ; Hagberg et al, 1977; Koskela et al, 1977). This is particularly the case when a catheter has been inserted as part of the management of the seriously injured child, and in the case of the intraperitoneal rupture of the bladder when the rent may be temporarily occluded by a coil of intestine or a plug of omentum (Kamat et al, 1970;Prather, 1970).…”

Section: Fig 6 Biopsy Of the Edge Of The Vesical Perforation Demonstmentioning

confidence: 99%

“…"Spontaneous" rupture of the bladder, or rupture in the absence of pelvic fracture or instrumentation, means that the bladder is abnormal (Stone, 1931; Thompson et al, 1965). True spontaneous rupture is rare but may be a recurring problem (Bunton, 1952;Bliss et al, 1964;Kamat et al, 1970). Spontaneous bladder rupture is usually of the intraperitoneal type and the patient presents as an "acute abdomen".…”

Section: Fig 6 Biopsy Of the Edge Of The Vesical Perforation Demonstmentioning

confidence: 99%

Rupture of the Urinary Bladder in Children. The Importance of the Double Lesion

Brereton

Philp

Büyükpamukçu

1980

British Journal of Urology

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We report 10 cases of rupture of the urinary bladder in children. Only one patient was a girl. The rupture was caused by a road accident in 6 cases and occurred "spontaneously" in 4. Rupture of the bladder may be difficult to diagnose. In many patients the vesical rupture is not the only abnormality in the urinary tract and a thorough investigation is necessary. The majority of the bladder ruptures in these children were intraperitoneal, which contrasts with the reported experience in adults.

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Spontaneous Rupture of the Bladder

Cited by 8 publications

References 7 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

Spontaneous Rupture of the Bladder in a Child

Rupture of the Urinary Bladder in Children. The Importance of the Double Lesion

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