Intraperitoneal Rupture Of Urinary Bladder Research Articles

Combined Rupture of the Diaphragm and Urinary Bladder in Blunt Trauma Abdomen.

The authors examined a 25-year-old man with a combined rupture of the diaphragm and urinary bladder following blunt trauma to the abdomen. The presence of hematuria, suprapubic tenderness, and elevated serum urea and creatinine levels in this patient raised suspicion of urinary bladder rupture. Documentation of bowel gas shadows on the chest x-ray suggested underlying diaphragm injury. A computed tomogram of the thorax and abdomen confirmed the tear in the left hemidiaphragm with intrathoracic herniation of abdominal contents; however, it failed to detect the intraperitoneal urinary bladder rupture. Both the defects were identified and repaired during laparotomy. The sudden increase in intraabdominal pressure in blunt trauma to the abdomen often resulted in full-thickness tears of the diaphragm and the urinary bladder. Although radiological investigations were pivotal for assessing the damage to the internal organs, a methodical and thorough exploratory laparotomy was invaluable for successfully managing patients with blunt abdominal trauma.

Peritonitis Following forceful Foley’s Catheterisation

Intraperitoneal rupture of urinary bladder is a complication faced during improper technique and forceful Foley’s catheterisation. Peritonitis following intraperitoneal bladder rupture is a rare complication seen and theoretically noted. In this case report, we see how a forceful Foley’s catheterisation led to intraperitoneal bladder rupture and thus, leading to peritonitis.

Spontaneous isolated intraperitoneal rupture of urinary bladder after normal vaginal delivery presenting as puerperal sepsis

Spontaneous isolated intraperitoneal rupture of urinary bladder is a rare urological complication of normal delivery. This complication is usually related to prolonged labour, failure to empty bladder in second stage of labour, use of forceps/ ventouse, postpartum urinary retention, vaginal birth after caesarean section and usually presents immediately after delivery. We report the case of a patient with spontaneous isolated intraperitoneal rupture of urinary bladder after normal vaginal delivery in the absence of any risk factor. She presented on day 5 postpartum with features suggestive of puerperal sepsis with pyoperitoneum with acute kidney injury. Absence of unhealthy lochia and later, normal-looking uterus and adnexa during laparotomy led to the suspicion of alternate cause for seropurulent ascites. Further exploration revealed rent in the urinary bladder with necrosed margins. High index of suspicion of alternate diagnosis should be maintained if some of the clinical findings are not supportive of provisional initial diagnosis

A rare case of spontaneous intraperitoneal rupture of urinary bladder after normal delivery

We report an uncommon case of postpartum women, who presented to us 20 days after a normal delivery with anuria, abdominal pain & distension, huge ascites and renal failure. Which on evaluation and emergency laparotomy was found to be due an intraperitoneal tear of bladder probably that has happened during a vaginal delivery with a full bladder. Purulent urine in the peritoneal cavity was suctioned, a thorough lavage was done and the tear in the dome of the bladder was repaired with vicryl 3.0 in 2 layer followed which she was kept on continous drainage of bladder for 3 wks. This is an absolutely preventable condition, provided proper care was taken in second stage by emptying the bladder. High index of suspicion and prompt diagnosis could have reduced the suffering, psychological trauma, financial burden and most importantly the morbidity in this case. Keywords: Bladder rupture, Urinary ascites, Vaginal delivery, Bladder repair, Puerperium.

Intraperitoneal urinary bladder rupture diagnosed with ultrasound: An uncommon image

We present a case of intraperitoneal bladder rupture after fall. The patient presented with lower abdominal pain, difficulty to void urine, and mild hematuria. Catheterization revealed blood-tinged urine. Ultrasound showed a well-defined defect in the dome of bladder with flow of saline through the defect into the peritoneum, on flushing the Foley's catheter. On laparotomy, a 5 cm × 5 cm defect was found in the bladder dome that was repaired.

Abdominal Pain, Hyperkalemia, and Elevated Creatinine after Blunt Trauma: Bladder Rupture and Pseudo–Acute-Kidney-Injury.

A 40-year-old man involved in trauma presented with abdominal pain and ascites. He was referred to nephrology for elevated creatinine and hyperkalemia. Initial imaging showed diffuse free fluid in the abdomen and pelvis without solid organ injury. Paracentesis drained 1.5L of yellow fluid notable for a creatinine of 2259 μmol/L. Intraperitoneal urinary bladder rupture was diagnosed and surgically repaired. Within 24 hours, creatinine had normalized consistent with a presentation of pseudo-acute-kidney-injury. This case and a literature review reveals that this condition is often delayed in diagnosis or misdiagnosed altogether.

An uncommon case of intraperitoneal urinary bladder rupture in an adult with pelvic bone fracture

Injury of urinary bladder can occur due to blunt, penetrating, or iatrogenic trauma. Here, author present an uncommon case of Intraperitoneal bladder rupture in an adult patient with associated pelvic bone fracture. Following a fall from his house, a 40 years old male patient presented with haematuria and abdominal pain. CT scan of abdomen revealed Intraperitoneal bladder rupture with pelvic bone fracture. Intraoperative findings revealed intraperitoneal rupture of bladder with a defect in dome region. It was repaired with Vicryl 2-0 suture. So, a high degree of suspicion of intraperitoneal bladder rupture should be kept in mind even though it has associated pelvic bone fracture in an adult patient.

Non-Operative Management of Intraperitoneal Bladder Rupture Due to Blunt Abdominal Trauma

Introduction: Nowadays, surgical treatment is the gold standard to manage traumatic intraperitoneal urinary bladder rupture; there is an increasing trend of conservative management in cases of urinary tract trauma. Case Presentation: A 72-year-old male with high energy trauma due to car accident had blunt traumatic intraperitoneal urinary bladder rupture with pelvic fracture. He was successfullymanaged non-operatively by catheter drainage of the bladder and external fixation of the pelvic fracture while he was hemodynamically stable and there was no other organ injury. Conclusions: Non-operative management for a blunt traumatic intraperitoneal bladder rupture with pelvic fracture is an important treatment modality if a laparotomy is not needed for any other abdominal organ injuries, and urine can be constantly drained through a catheter; and a close surveillance can be performed for generalized peritoneal signs and uroascites.

Spontaneous Rupture of Urinary Bladder (SRUB) in a Young Male, Presenting as Anuria – A Case Report and Review of Literature

Spontaneous rupture of urinary bladder is a rare condition. Most of the bladder ruptures occur in association with blunt or penetrating injuries to the lower abdomen. Most often, a vague lower abdominal pain is the mode of presentation. Rarely patients present with oliguria, anuria, uremia or urosepsis. A forty year old male, under the influence of alcohol, presented with lower abdominal pain and anuria for two days with abnormal renal function. He denied history of blunt trauma. He was diagnosed to have an intra-peritoneal rupture of urinary bladder. He underwent emergency laparotomy with repair of bladder rupture. This case report illustrates the need for a high index of clinical suspicion. Prompt diagnosis and appropriate management will help in preventing a poor clinical outcome in patients with spontaneous bladder perforation. If left untreated or if there is a considerable delay in diagnosis and intervention, it usually is associated with a high morbidity.

Delayed Presentation of Traumatic Intraperitoneal Rupture of Urinary Bladder

Blunt injury of the urinary bladder is well known and usually associates pelvic fractures. Isolated bladder injury is a rare condition and on the other hand, delayed bladder perforation is an extremely rare entity. Herein, we described an unusual case of isolated delayed intraperitoneal bladder rupture that occurred on the third post injury day in a young male in the absence of free intraperitoneal fluid and pelvic fracture. The diagnostic workup, course and the need for surgical repair of the injury is presented.

Laparoscopic Repair in Intraperitoneal Rupture of Urinary Bladder in Blunt Trauma Abdomen

Intraperitoneal rupture of urinary bladder is a common condition associated with pelvic fractures. This is a true surgical emergency managed conventionally by open laparotomy with single layer or double layer repair. We performed total laparoscopic repair of an intraperitoneal rupture of bladder. A 25-year-old woman presented with fracture of both pubic rami and signs of bladder rupture after a road traffic accident. Ruptured urinary bladder and other visceral injuries were sutured laparoscopically. Laparoscopic repair of intraperitoneal rupture of urinary bladder is an effective and minimally invasive technique.

Isolated bladder rupture after minor trauma in a patient with alcohol intoxication

We report the case of an intoxicated male patient who presented with an isolated intraperitoneal urinary bladder rupture, with a history of minor trauma. A review of the literature reveals that isolated bladder rupture after minimal or no trauma in association with alcohol or drug ingestion is an infrequently reported, but recognized, injury. The diagnosis of bladder rupture should be considered in an intoxicated patient with lower abdominal pain, even without a history of trauma. A history of voiding or bladder dysfunction should increase the suspicion for this injury. If suspected, a retrograde cystogram should be obtained promptly. Failure to consider and recognize this injury may lead to significant morbidity.