Spontaneous Rupture of the Urinary Bladder Is Not a Rare Complication of Radiotherapy for Cervical Cancer: Report of Six Cases

Fujikawa, Keita; Yamamichi, Fukashi; Nonomura, M; Soeda, Asaki; Takeuchi, Hideo

doi:10.1006/gyno.1999.5347

Cited by 39 publications

(21 citation statements)

References 2 publications

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“…However, a subgroup of patients with previous history of pelvic irradiation may be managed conservatively with antibiotics and prolonged bladder drainage (4-6 weeks) [8]. In such patients surgical repair may lead to re-perforation.…”

Section: Discussionmentioning

confidence: 98%

“…Also relatively common at the site of perforation are diverticula of the bladder, sometimes impacted with a stone [6,7]. Less common pathologies include lipomatosis [6], changes caused by drugs such as cyclophosphamide [1], irradiation [8] and scars from previous surgery [9]. Inflammation of the bladder wall secondary to inflammation elsewhere in the pelvis severe enough to cause spontaneous rupture has also been reported [1].…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous bladder rupture caused by a giant vesical calculus

et al. 2006

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Spontaneous rupture of the urinary bladder is an uncommon occurrence. A 36-year-old man had complaints of pain and progressive distension of abdomen and anuria for 2 days. His abdomen was tense, tender and distended with free fluid. Blood urea was 340 mg% and ascitic fluid urea was 337 mg%. An USG showed massive ascitis, a large vesical calculus and a left renal calculus. The urinary bladder could not be catheterized. Patient underwent hemodialysis and placement of abdominal drains. About 2 l of yellow turbid fluid was drained. Cystolithotomy showed a 6 cm size impacted calculus with a rent in the dome of the bladder, which was repaired. Subsequently patient underwent percutaneous nephrolithotrypsy for left staghorn renal calculus and nephrectomy for right non-functioning kidney.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Spontaneous bladder rupture caused by a giant vesical calculus

et al. 2006

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“…We suspected that the cause of rupture in our case could have either been cancer recurrence or long-term sequelae of the initial treatment. Spontaneous bladder rupture secondary to radiation therapy is better characterized in adults receiving treatment for cervical 1 , prostate 2 , and other pelvic cancers. Radiation cystitis is a known complication of pelvic radiation and can manifest many years after therapy as bladder fibrosis and atrophy 9 .…”

Section: Discussionmentioning

confidence: 99%

“…Bladder rupture in the absence of trauma (spontaneous bladder rupture) is a rare but lifethreatening phenomenon, commonly associated with pelvic malignancy 1,2 and postvaginal delivery 3 . In children, case reports of spontaneous bladder rupture are most often idiopathic or associated with congenital genitourinary malformations (e.g.…”

Section: Introductionmentioning

confidence: 99%

Case: Spontaneous bladder rupture presenting as sudden-onset abdominal pain in a child after many years in remission from bladder rhabdomyosarcoma

Chehroudi

Afshar

2017

CUAJ

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Bladder rupture in the absence of trauma (spontaneous bladder rupture) is a rare but life-threatening phenomenon, commonly associated with pelvic malignancy1,2 and postvaginal delivery.3 In children, case reports of spontaneous bladder rupture are most often idiopathic or associated with congenital genitourinary malformations (e.g., posterior urethral valve) and bladder augmentation surgery.4 Since bladder rupture often presents with acute abdominal pain, the diagnosis can be missed, leading to delayed treatment and poor outcomes. Here, we describe the second case in the literature, to our knowledge, of spontaneous bladder rupture in a pediatric patient with prior bladder rhabdomyosarcoma.

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“…Urinary leakage usually presents with signs of peritonitis (7,13). Therefore, acute renal failure associated with massive ascites and peritonitis should be distinguished from urinary leakage.…”

Section: Discussionmentioning

confidence: 99%

Pseudo-acute Renal Failure due to Intraperitoneal Urine Leakage

Zhou¹,

Ying²,

Feng³

2015

Intern. Med.

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Ascites, oliguria and vomiting with an increasing serum creatinine level are often observed in patients with acute renal failure. However, these symptoms are also noted in individuals with intraperitoneal urinary leakage. Bladder rupture without a history of obvious trauma is sometimes mistaken for acute renal failure. We herein report a case of bladder perforation resembling acute renal failure in which the presentation was delayed until the patient began to experience symptoms of urinary ascites. The diagnostic dilemma associated with the rarity of this condition and possible aetiologies are discussed.

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Spontaneous Rupture of the Urinary Bladder Is Not a Rare Complication of Radiotherapy for Cervical Cancer: Report of Six Cases

Cited by 39 publications

References 2 publications

Spontaneous bladder rupture caused by a giant vesical calculus

Spontaneous bladder rupture caused by a giant vesical calculus

Case: Spontaneous bladder rupture presenting as sudden-onset abdominal pain in a child after many years in remission from bladder rhabdomyosarcoma

Pseudo-acute Renal Failure due to Intraperitoneal Urine Leakage

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