Spontaneous Intraperitoneal Bladder Rupture Research Articles

Spontaneous Intraperitoneal Bladder Rupture with Normal Renal Indices. A Case Report of Unusual, Confusing Presentation

Spontaneous Intraperitoneal Bladder Rupture with Normal Renal Indices. A Case Report of Unusual, Confusing Presentation

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.

Erratum to: Recurrent ascites due to spontaneous intraperitoneal bladder rupture after pelvic radiation therapy for cervical cancer

Erratum to: Recurrent ascites due to spontaneous intraperitoneal bladder rupture after pelvic radiation therapy for cervical cancer

Recurrent ascites due to spontaneous intraperitoneal bladder rupture after pelvic radiation therapy for cervical cancer

Abstract Radiation cystitis is one of the major complications after radiotherapy in cervical cancer patients. However, spontaneous intraperitoneal bladder rupture resulting from radiation cystitis after radiotherapy for cervical cancer is extremely rare. We report a 52-year-old patient who received radiation therapy for cervical cancer 15 years ago. Since the last 8 years, the patient frequently presented with recurrent abdominal distension, oliguria, and ascites. Ascitic fluid drainage and supportive treatment provided symptomatic relief. However, every few months, the symptoms recurred. The patient was subjected to exploratory laparotomy twice. The first exploratory laparotomy in July 2015 revealed no significant abnormalities. During the second exploratory laparotomy in November 2016, intraperitoneal bladder rupture was observed, and the patient underwent surgical repair. After the surgery, ascites was completely cured. The occurrence of spontaneous intraperitoneal bladder rupture after radiation therapy in cervical cancer patients is rare. The prognosis for the condition is good if it is promptly diagnosed and treated.

Recurrent ascites due to spontaneous intraperitoneal bladder rupture after pelvic radiation therapy for cervical cancer

Abstract Radiation cystitis is one of the major complications following radiotherapy for cervical cancer. However, spontaneous intraperitoneal bladder rupture as a result of radiation cystitis following radiotherapy for cervical cancer is extremely rare. Case presentation: We report a 52-year-old patient who received radiation therapy for cervical cancer 15 years prior to presentation. Eight years prior to presentation, she developed recurrent abdominal distension, oliguria, and ascites. Following ascites drainage and supportive treatment, all symptoms were relieved. However, all symptoms subsequently recurred every few months. The patient underwent exploratory laparotomy twice. The first exploratory laparotomy in July 2015 found no specific abnormalities. The second exploratory laparotomy in November 2016 found an intraperitoneal bladder rupture, and the patient underwent surgical repair. The ascites subsequently resolved. Conclusion: The occurrence of spontaneous intraperitoneal bladder rupture after radiation therapy for cervical cancer is rare. The prognosis is good when diagnosis and treatment are prompt.

Spontaneous rupture of the urinary bladder in the third trimester of pregnancy

Spontaneous rupture of the urinary bladder is defined as rupture of the urinary bladder into the peritoneal cavity without a history of trauma 1. Aetiological factors implicated include but are not limited to radiotherapy, chronic infective diseases like tuberculosis, necrotizing cystitis and in pregnancy, bladder injuries caused in the event of uterine rupture 2. Its incidence is 1 in 126,000 hospital admissions 3. We report a rare case of spontaneous intraperitoneal rupture of the urinary bladder in the early third trimester of pregnancy. This report highlights the diagnostic challenges obstetricians and surgeons may encounter with presentations of acute abdomen in pregnancy. The patient presented with acute abdominal pain, voiding difficulty with pyrexia and features of peritonitis. At laparotomy, 3.5 litres of urine were drained from the abdominal cavity and a 6cm rent in the vault of the bladder was found. Laparotomy, bladder repair with antibiotic cover and indwelling catheterization were the basis for a favourable outcome.

Spontaneous bladder rupture diagnosis based on urinary appearance of mesothelial cells: a case report

IntroductionSpontaneous bladder rupture is an extremely rare clinical event that is associated with urinary ascites and apparent acute renal failure. This event is difficult to diagnose clinically, even with advanced techniques such as computed tomography; however, the timely diagnosis of this condition is critical. Here, we report a case of a patient who experienced a spontaneous intraperitoneal bladder rupture 10 years after postoperative pelvic irradiation for the treatment of uterine cancer. In this report of a rare case, we describe the contribution of the appearance of mesothelial cells in the urine to the diagnosis of this condition.Case presentationOur patient was a 71-year-old Asian woman who experienced lower abdominal pain and vomiting of two days duration. On admission, abdominal computed tomography showed intraperitoneal fluid collection and her blood tests revealed acute renal failure and hyperkalemia. She underwent hemodialysis and a transurethral catheter was inserted. The transurethral catheter was removed three days after her admission. Four days after the catheter removal, her symptoms recurred and her serum creatinine and blood urea nitrogen levels were elevated. We noted the presence of mesothelial cells in her urine, which led to a diagnosis of intraperitoneal bladder rupture. She underwent surgical repair of her bladder and hyperbaric oxygen therapy, and was discharged after her renal function returned to normal.ConclusionUrine analysis is a simple and non-invasive test and we believe that a thorough urine analysis may contribute to the early diagnosis of an intraperitoneal bladder rupture. We think that the findings presented in this case report will significantly enhance our understanding of the etiology of bladder rupture. Moreover, these case findings may help nephrologists and urologists to rapidly diagnose this condition.

Micropapillary carcinoma of the bladder presented with spontaneous intraperitoneal bladder rupture

Spontaneous bladder perforation is a rare presenting feature of bladder malignancy. We describe an unusual case of a patient, admitted to emergency, with diffuse abdominal pain due to spontaneous bladder rupture in association with a micropapillary carcinoma. A diagnosis of an intraperitoneal bladder perforation was made during an emergency operation. Aspects of etiology, clinical presentation, diagnosis and management are described. Although cases of spontaneous carcinomatous bladder rupture are associated with high morbidity and mortality, prompt identification and treatment can lead to favourable outcomes.

Micropapillary carcinoma of the bladder presented with spontaneous intraperitoneal bladder rupture

Spontaneous bladder perforation is a rare presenting feature of bladder malignancy. We describe an unusual case of a patient, admitted to emergency, with diffuse abdominal pain due to spontaneous bladder rupture in association with a micropapillary carcinoma. A diagnosis of an intraperitoneal bladder perforation was made during an emergency operation. Aspects of etiology, clinical presentation, diagnosis and management are described. Although cases of spontaneous carcinomatous bladder rupture are associated with high morbidity and mortality, prompt identification and treatment can lead to favourable outcomes.

Hyponatremic Renal Pseudofailure and Massive Ascites Following Normal Vaginal Delivery: A Diagnostic and Therapeutic Challenge

We report the fifth, to our knowledge, published case of spontaneous intraperitoneal bladder rupture after normal, vacuum-assisted in this occasion, vaginal delivery of a 29-year-old female patient. Diagnosis was established not by imaging or intraoperative findings, but, rather, by the examination and comparison of patient’s blood, urine, and peritoneal fluid urea and creatinine levels, which, due to the patient’s delayed referral and sequent development of uroperitoneum and hyponatremic renal pseudofailure, were abnormal and characteristic of her medical condition. The patient was successfully managed conservatively and was discharged the sixth day after admission. Due to the rare nature of such medical condition and based on the relative literature, we propose a diagnostic and management algorithm for such cases.

CT findings of spontaneous intraperitoneal rupture of the urinary bladder: two case reports

We report two cases of spontaneous bladder rupture. Preoperative diagnosis was difficult and the correct diagnosis was made at surgery. Reviewing the initial abdominopelvic CT of our second patient, the bladder wall defect and blood attenuation near the bladder were observed. These findings were consistent with the operative findings, and would have led to correct preoperative diagnosis if we had had sufficient knowledge of spontaneous bladder rupture. Under urinary catheterization, ascites and free intraperitoneal air were identified in both patients. These findings were indistinguishable from those for bowel perforation, which was our preoperative diagnosis. Significant changes in ascites volume between pre and post urinary catheterization can be an indication of spontaneous bladder rupture.

A Case of Peritonitis Induced by Urinary Ascites Due to Spontaneous Intraperitoneal Bladder Rupture

A Case of Peritonitis Induced by Urinary Ascites Due to Spontaneous Intraperitoneal Bladder Rupture

Conservative management of spontaneous rupture of the urinary bladder: comment

Dear Editor, Spontaneous bladder ruptures are bladder ruptures which occur without trauma. Besides malignancy, irradiation, large ureterovesical stones, binge alcohol drinking, continuous bladder irrigation, postpartum and pelvic organ prolapsed as mentioned by Abu Mahfouz et al. [1] it can also be a complication of tuberculosis [2]. In this case, the patient presented with 1-day history of acute urinary retention, 3-day history of right iliac fossa (RIF) pain and irreducible pelvic organ prolapse. On examination, the abdomen was distended and there was mild RIF tenderness. What probably happened was that due to the pelvic organ prolapsed, there was bladder outlet obstruction resulting in acute urinary retention. It could have ruptured when she had the RIF pain, which was 3 days prior to consultation. However, it was temporarily sealed off by the uterus resulting in another episode of urinary retention when she came for consultation. With distension of the bladder, the seal leaked, explaining for the minimal urine drained via the urinary catheter. The raised creatinine and urea could be due to peritoneal reabsorption of the urine. Conservative management of spontaneous intraperitoneal bladder rupture has also been reported by Basiri et al. [3]. In his case, he argued that conservative management was opted due to the known complication rate of performing surgery on irradiated tissues. However, the patient reported by Abu Mahfouz et al. [1] was a healthy lady and there was already a collection in the pelvis which was a potential focus of infection. There was no mention of fever or the size of the collection but I feel it should be drained. I am also of the opinion that early laparotomy and repair of the bladder wall should have been done since she is premorbidly healthy, the defect in the bladder was large and the perforation was detected early. However, I will have to agree with the authors that since the patient was clinically well and had in fact improved with an indwelling catheter, a trial of conservative management could be attempted with the option of bladder repair if patient deteriorates. Close observation of the patient is mandatory. Recurrence does occur in spontaneous bladder ruptures treated conservatively [4].

Spontaneous bladder perforation: a rare complication of tuberculosis

Spontaneous bladder perforation secondary to tuberculosis (TB) is very rare. Only three cases have been reported so far in the literature. Due to its rarity, the diagnosis of spontaneous bladder perforation is often missed. Confirmation of TB via culture takes a long time and starting empirical treatment for TB is necessary. We relate our experience with a young woman who presented with clinical features of a perforated appendix and was only diagnosed with bladder perforation during laparotomy. She also had distal right ureteral stricture and left infundibular stenosis. The provisional diagnosis of TB was attained via typical histopathological features and a positive Mantoux test. She was started empirically on anti-TB treatment and recovered without any complications. Urine culture after 6 weeks confirmed the diagnosis of TB.

Spontaneous Intraperitoneal Rupture of the Urinary Bladder after Radiotherapy for Cervical Cancer

1)Many patients suffer severe complications from radiation therapy for cervical cancer. Severe late complications are observed in 1.24% of patients after radiation therapy for gynecological cancer; these include irradiated bladders, ureteral strictures, and urinary fistulas [1]. Spontaneous intraperitoneal rupture of the urinary bladder is a rare complication of radiation therapy. Here, we present a case of spontaneous bladder rupture after whole-pelvis radiation therapy for cervical cancer.

Intraperitoneal bladder rupture mimicking acute renal failure

We describe a patient who presented with acute onset of abdominal pain, oliguria, gross hematuria and uremia. Further examination revealed spontaneous intraperitoneal rupture of the urinary bladder. Upon repair of the rupture, his biochemistry normalized within 24 h. Acute renal failure is characterized by an abrupt decline in glomerular filtration rate (GFR), biochemically reflected by elevation in serum creatinine level. It usually displays multifactorial etiology and can be classified as prerenal, renal and postrenal. In this case report, we describe a situation in which the increase in serum creatinine level was not related to any of these factors and was associated with normal GFR and absorption of urine across the peritoneal membrane following spontaneous rupture of bladder.

Spontaneous Intraperitoneal Perforation of the Bladder: A Late Complication of Radiation Therapy for Prostate Cancer

The spontaneous intraperitoneal rupture of the urinary bladder is an extremely rare and life-threatening event. Often, there are difficulties in establishing the diagnosis. A patient with spontaneous perforation of the urinary bladder, 17 years after successful treatment of an adenocarcinoma of the prostate by pelvic radiation therapy, is reported. Aspects of etiology, clinical presentation, diagnosis, and management are described. Early surgical exploration including primary closure of the defect, peritoneal lavage, and continuous vesical drainage were associated with a favorable outcome.

Spontaneous intraperitoneal rupture of the urinary bladder

Spontaneous intraperitoneal rupture of the urinary bladder

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

Background. Spontaneous intraperitoneal rupture of the urinary bladder is an extremely rare event. It has been reported to be a rare complication of radiation therapy for cervical cancer, but no studies have ever reported the incidence of this life-threatening complication.Materials and Methods. From August 1981 through December 1988, 143 patients with carcinoma of the uterine cervix were treated with high-dose-rate intracavitary brachytherapy combined with external beam therapy at Kobe City General Hospital.Results. Of these patients, three (2.1%) suffered spontaneous intraperitoneal rupture of the urinary bladder as a late complication of radiation therapy between August 1995 and February 1998. Three other patients, treated with radiation therapy for cervical cancer at other hospitals, were also admitted to our hospital with this complication between August 1995 and February 1998. All six patients underwent laparotomy and repair of the perforation. However, rerupture of the bladder occurred in three of these patients.Conclusion. Spontaneous intraperitoneal rupture of the urinary bladder after radiation therapy for cervical cancer is less rare than previously expected, and urologists must consider the possibility of occurrence of this life-threatening event following radiation therapy.

A Case of Spontaneous Intraperitoneal Rupture of the Urinary Bladder in Association with Carcinoma

A Case of Spontaneous Intraperitoneal Rupture of the Urinary Bladder in Association with Carcinoma