Spontaneous Intraperitoneal Bladder Rupture Research Articles

Spontaneous intraperitoneal rupture of bladder with spontaneous healing

A case of spontaneous intraperitoneal bladder rupture that was spontaneously healed in a one-year-old girl is reported. The subsequent drainage of the contrast medium in the peritoneal cavity via the urethral catheter after retrograde cystography implies that such a rupture may be successfully treated by a urethral bladder drainage and antibiotics.

Delayed spontaneous rupture of augmented bladder in children: diagnosis with sonography and CT.

With the increasing use of augmentation enterocystoplasty to treat patients with small-capacity, noncompliant bladders, an increase in the number of cases of delayed spontaneous intraperitoneal rupture of the augmented bladder has been reported. Although patients with a ruptured bladder usually will have an acute abdomen, these clinical signs and symptoms may be masked in spina bifida patients because of their neurologic deficit. Cystography and sonography were performed in four spina bifida patients with delayed spontaneous rupture of an augmented bladder. One patient also had isotope cystography. Two patients were examined with CT. Cystographic findings were abnormal in only one case. Peritoneal fluid was identified sonographically in all four cases and also was seen in both CT studies. Our study reveals that enhanced cystography will frequently fail to show leakage from an augmented bladder. Sonography and CT are reliable in detecting free intraperitoneal fluid, a finding that can significantly aid in the diagnosis of ruptured bladder after enterocystoplasty. Therefore, cystography with normal findings must be followed by sonography or CT in order to detect extravasated urine.

Spontaneous intraperitoneal vesical rupture in association with neuropathic bladder

Spontaneous bladder rupture in association with a neuropathic bladder is an uncommon but life-threatening occurrence with only 18 previously reported cases. We report spontaneous intraperitoneal bladder rupture in 2 ttraplgie patients, review the literature, and discuss the pathogenesis and management.

A rare case of spontaneous rupture of the urinary bladder.

An extremely rare case of spontaneous intraperitoneal rupture of the urinary bladder, caused by a combination of a tumor of the vesical wall and an impacted urethral stone, is reported. The patient's symptoms suggested a perforated hollow viscus. Under general anesthesia the urethral stone was removed, while at laparotomy a diffuse peritonitis with blood-stained purulent fluid emerging from the ruptured bladder was found. The vesical wall was repaired and the peritoneal cavity was drained. In spite of the patient's advanced age and debilitated condition and the generalized peritonitis, the postoperative course was uneventful and the patient recovered promptly. Although spontaneous rupture of this kind is rare, one needs to consider unsuspected bladder rupture in any acute abdomen, especially if the patient is in the prostatic age group or has voiding problems.

A case of spontaneous intraperitoneal rupture of the urinary bladder

A case of spontaneous intraperitoneal rupture of the urinary bladder

Spontaneous Intraperitoneal Rupture of the Urinary Bladder

Spontaneous Intraperitoneal Rupture of the Urinary Bladder