Spontaneous Urinary Bladder Rupture Due to a Hypnotics Overdose

Hung Jung Lin

doi:10.4172/2165-7548.1000138

Abstract

We reported on a hypnotic overdose young female who was taken to the emergency department because of abdominal pain, acute kidney injury, and an unexplained massive ascites. The final diagnosis was spontaneous urinary bladder rupture due to hypnotic-induced semi-coma. Hypontics overdose greatly influenced the patient’s ability to urinate and contributed to prolonged urinary retention, which resulted in the rupture of urinary bladder. However, the history and physical examinations of these intoxicated patients are usually questionable. As a result, we proposed a triad of clinical manifestations – abdominal pain, acute kidney injury and a massive ascites. The presence of these clinical findings together should prompt physicians to consider spontaneous urinary bladder rupture.

Highlights

Spontaneous urinary bladder rupture is rare and it is difficult for physicians to diagnose the uncommon disease in intoxicated patients
We described a case of hypnotics overdose induced spontaneous urinary bladder rupture and demonstrate the useful clues for the diagnosis of this disease
Spontaneous urinary bladder rupture is uncommon with an estimated incidence of 0.002% according to the emergency department census [1]

Summary

Introduction

Spontaneous urinary bladder rupture is rare and it is difficult for physicians to diagnose the uncommon disease in intoxicated patients. We described a case of hypnotics overdose induced spontaneous urinary bladder rupture and demonstrate the useful clues for the diagnosis of this disease. On the day of the patient’s visit to our emergency department, she complained of abrupt onset hypogastric pain that was not associated with nausea, diarrhea or fever.

Results

Conclusion