Squamous cell carcinoma of the bladder presented with spontaneous intraperitoneal bladder rupture: A case report

Edwan, Ghazi Mohammad Al; Mansi, Hammam; Atta, Omar Nabeeh M.; Shaban, Mazen M.

doi:10.1016/j.ijscr.2018.05.002

Cited by 9 publications

(14 citation statements)

References 12 publications

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“…In cases that receive surgical intervention, partial cystectomy is preferred to radical cystectomy, as radical cystectomy is deemed too invasive. 3 However, in this case, we had no choice but to carry out radical cystectomy as the patient was in septic shock, and without the removal of the source of infection, the peritonitis would have persisted. Partial cystectomy was also impossible as most of the bladder was occupied by a solid tumor, and there was no normal mucosa left.…”

Section: Discussionmentioning

confidence: 92%

“…Spontaneous bladder rupture is rare and is associated with high morbidity and mortality. 2 , 3 Common causes of spontaneous bladder rupture are pelvic irradiation, retention, chronic cystitis, invasive tumor, and diverticulitis. 1 Typical CT images of bladder rupture into the peritoneal cavity show accumulation of ascites and free air.…”

Section: Discussionmentioning

confidence: 99%

“… 3 Once the diagnosis of this condition is established, surgical interventions such as partial cystectomy or radical cystectomy are recommended in cases of intraperitoneal rupture. 3 However, relatively many cases are managed by bilateral cutaneous ureterostomy alone 4 or conservatively using an indwelling urethral catheter, 5 as the patient's condition does not allow the patient to undergo surgery. In cases that receive surgical intervention, partial cystectomy is preferred to radical cystectomy, as radical cystectomy is deemed too invasive.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous bladder rupture due to bladder carcinoma: A case report required emergency radical cystectomy

Asano¹,

Ohtsuka²

2020

Urology Case Reports

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We report a case of spontaneous bladder rupture due to bladder carcinoma. A 52-year-old female presented in septic shock, and computed tomography revealed free air in the subphrenic space and a mass in the middle of the pelvis. The exploratory laparotomy helped to confirm a definitive diagnosis: bladder rupture due to bladder carcinoma. She underwent a radical cystectomy and survived. Surgical intervention is recommended to manage carcinomatous bladder rupture. Timely and accurate diagnosis is essential to optimize the patient's outcomes. The possibility of spontaneous bladder rupture should not be overlooked as a differential diagnosis in cases of the acute abdomen.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Spontaneous bladder rupture due to bladder carcinoma: A case report required emergency radical cystectomy

Asano¹,

Ohtsuka²

2020

Urology Case Reports

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“…[6][7][8][9][10] Bladder cancer is one such rare cause of spontaneous bladder perforation that can lead to this clinical picture. [11][12][13][14][15][16][17][18][19] Interestingly, most of the cases of bladder cancer who had spontaneous bladder perforations were in fact, squamous cell carcinomas, like our index case, probably denoting more extensive permeation of wall. 15,16,18,19 However, to the best of our knowledge, there are no reports of patients with bladder cancer presenting with a clinical picture of pseudo renal failure, without an obvious bladder perforation.…”

Section: Discussionmentioning

confidence: 99%

An interesting presentation of invasive bladder carcinoma as pseudo renal failure

et al. 2022

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Ascites and oliguria 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 and can be mistaken for acute renal failure. This rise in creatinine in such patients is called pseudo renal failure and it happens by a process of reverse peritoneal dialysis. In literature, the most commonly described condition that leads to this clinical picture is following a spontaneous or missed bladder perforation. We, herein, report a case of carcinoma of the bladder that presented with features resembling acute renal failure, which later turned out to be pseudo renal failure due to intraperitoneal urinary extravasation from a forniceal rupture. The patient was managed with emergency with a percutaneous drain followed by a percutaneous nephrostomy, which led to normalization of creatinine. Cystoscopy revealed the bladder growth in an intact small capacity bladder and biopsy confirmed it as a muscle invasive squamous cell carcinoma. Due to advanced nature of his malignancy, he underwent a palliative ileal conduit diversion but he later developed chest metastasis and ultimately succumbed to the disease. Intraperitoneal urinary leakage due to forniceal rupture presenting as pseudo renal failure is a rare presentation of carcinoma bladder. Sudden onset abdominal discomfort, increasing ascites, hematuria, and oliguria with elevated renal parameters needs consideration and exclusion of this entity. The diagnostic dilemma associated with this rare presentation along with the management and prognosis in such patients of carcinoma bladder are discussed.

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“…On the contrary, there have been reports that bladder injury may occur with the lack of traumatic injuries. These cases have been associated with carcinoma, chronic cystitis, chronic catheterization, and outflow obstruction [2]. There is a paucity of reported cases documenting Foley catheterization as cause of bladder rupture.…”

Section: Introductionmentioning

confidence: 99%

A Foley Fallacy: A Case of Bladder Rupture after “Routine” Foley Catheter Placement

Poola

Mohan

2018

Case Reports in Urology

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Bladder injury is a rare condition mostly due to high-energy trauma. Bladder injury tends to be suspected during traumatic events in the setting of hematuria, pain, and voiding difficulty. Unfortunately, in end-stage renal disease patients who are oliguric or anuric these classic clinical findings would not be seen. We report a case of bladder rupture without a history of trauma or without a history of hematuria or voiding difficulties. To our knowledge this is the first case to describe such an injury with a lack of trauma history.

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Squamous cell carcinoma of the bladder presented with spontaneous intraperitoneal bladder rupture: A case report

Abstract: HighlightsSquamous cell carcinoma of the bladder can present as intraperitoneal rupture.Management strategies of bladder SCC in general consist of radiotherapy, radical cystectomy and chemotherapy.The most common cause of death of bladder SCC is locoregional recurrence.

Cited by 9 publications

References 12 publications

Spontaneous bladder rupture due to bladder carcinoma: A case report required emergency radical cystectomy

Spontaneous bladder rupture due to bladder carcinoma: A case report required emergency radical cystectomy

An interesting presentation of invasive bladder carcinoma as pseudo renal failure

A Foley Fallacy: A Case of Bladder Rupture after “Routine” Foley Catheter Placement

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