Spontaneous Rupture Of Urinary Bladder Research Articles

Spontaneous Rupture of the Urinary Bladder: A Case Report

Spontaneous rupture of the bladder (SRUB) is a rare occurrence globally (<1%). The most common cause of bladder rupture is trauma (96%). We present a case of a 34-year-old man with a history of heavy alcohol consumption and significant smoking history. He presented with diffuse abdominal pain and urinary retention. On blood tests, he was found to have increased creatinine. A urinary catheter was inserted and there was improvement in his kidney function. However, on removal of the catheter, his creatinine function would elevate. This occurred two times before further investigations were performed. CT cystography was performed and there was a significant amount of free intraperitoneal fluid found in the pelvis. After retrograde filling of the bladder with contrast material, a tear in the dome of the bladder was discovered. The patient underwent a surgical repair of the tear and there were no complications during surgery. In summation, spontaneous urinary bladder rupture is a rare emergency which can cause acute abdomen, oliguria, peritoneal effusion and abnormal renal function. In patients with heavy alcohol consumption and especially without an associated trauma history, physicians should consider SRUB. CT scan can help in diagnosis. Diagnostic laparoscopy or explorative laparotomy should not be delayed.

Spontaneous Rupture of Urinary Bladder (SRUB): An Exceptional Presentation

Spontaneous Rupture of Urinary Bladder (SRUB): An Exceptional Presentation

Spontaneous Rupture of Urinary Bladder with Vesicocutaneous Fistula in a HIV Positive Female: Case Report

Spontaneous Rupture of Urinary Bladder with Vesicocutaneous Fistula in a HIV Positive Female: Case Report

Spontaneous rupture of neurogenic bladder

Pneumoperitoneum is abnormal presence of air or any other gas in the peritoneal cavity. This finding can be both benign or a sign of a grave underlying pathology and a wide spectrum of clinical conditions can attribute to the finding. Prompt clinical examination of a case of abdominal pain can identify findings of peritonitis. We are reporting an interesting case report about a patient of acute abdomen with pneumoperitoneum and peritonitis which was caused by spontaneous rupture of urinary bladder. A 36-year-old male, came with complaints of abdominal pain for one day, two episodes of non-bilious vomiting. He was a known case of neurogenic bladder on continuous bladder drainage. Systemic examination of the abdomen showed warmth, diffuse tenderness, guarding and absent bowel sounds. Bladder catheterisation showed clear urine. On investigation, He had pneumoperitoneum in chest X-ray and free fluid in ultrasonography. A clinical diagnosis of hollow viscus perforation was made and emergency laparotomy was done in view of signs of peritonitis. There was rupture of the dome of urinary bladder with necrosis of the bladder wall and extravasation of urine into the peritoneal cavity. This rare presentation should remind us to keep all the differential diagnoses in mind while opening a case of perforation peritonitis as timely intervention can well and truly be the difference between life and death.

Mumurshiyam of Bhela Indriya Sthana: An Explorative Study

Similar to “Agnivesha tantra” (popularly known as “Charaka samhita”), “Maharshi Bhela” has composed an Ayurvedic treatise known as “Bhela samhita.” Bhela samhita consists of 8 sections (sthana) and 120 chapters (adhyaya). “Indriya sthana” is one of the eight sections of “Bhela samhita” and it comprises 12 chapters. “Bhela Indriya sthana” deals with estimating life span and various prognostic aspects. “Mumurshurindriyam” is the third chapter of “Bhela indriya sthana.” The word “mumurshu” denotes a dying person and the chapter “mumurshurindriyam” contains the description of various signs and symptoms seen in the patients with terminal illness or end-of-life stages. Although previous works have explored “Charaka indriya sthana,” studies on “Bhela indriya sthana” are lacking. The present work is aimed to explore the contents of “Mumurshurindriyam” (third chapter) of “Bhela indriya sthana.” “Murmushurindriyam” chapter contains the description of conditions which are commonly seen during end-of-life stages. Various concepts/conditions such as end-of-life dreams and visions, deathbed communications, near death experiences, out-of-body experiences, visual hallucinations, delusions, dementia, delirium, organic psychosis, central auditory perception disorder, age-related hearing loss, late life psychosis, lower gastrointestinal bleeding, colon cancer, inflammatory bowel disease, end-stage renal disease, chronic kidney disease, diabetic ketoacidosis, central diabetes insipidus, spontaneous rupture of urinary bladder, myiasis, and medical etiquette are documented in this chapter by “Maharshi Bhela.” “Maharshi Bhela” has provided a list of signs and symptoms or clinical features in this chapter based on which questionnaire or screening methods can be developed, which can be used in prognostic research. Further research is required to substantiate the claims made in this chapter. The present study paves the path for future research directions.

Spontaneous Rupture of Urinary Bladder in a Young Alcoholic Male

Spontaneous rupture of the urinary bladder (SRUB) is a rare clinical condition. Prompt diagnosis is often difficult both clinically and radiologically and necessitates a high index of suspicion as the patients present with non-specific abdominal pain and may not offer a clear history. We report this young male who presented with SRUB which occurred after alcohol intoxication and presented to us with vague abdominal pain, anuria, and intraperitoneal fluid collection. He had presented with a painful urinary retention few days prior to this visit, was catheterized temporarily and was discharged on antibiotics with a diagnosis of prostatitis. Currently, he stated that he had not urinated since the recent discharge, and noticed increasing abdominal distension. He also had diffuse severe abdominal pain. Patient stated that prior to this, he had consumed 12 beers. Examination revealed a male in acute distress, with normal ranges vital signs. Abdomen was soft, diffusely tender, with sluggish bowel-sounds, and no rebound-tenderness. Rest of examination was normal. Blood workup was significant for elevated BUN and creatinine from his baseline, and leukocytosis. A Foley catheter was placed. His abdomen computed tomography (CT) scan showed a newly developed pneumoperitoneum. CT cysto-urethrogram confirmed intraperitoneal bladder rupture. The patient had an exploratory laparotomy. The bladder defect was closed, and an indwelling catheter was left to ease healing. He had an uneventful postoperative course, and was discharged with a follow-up appointment in the urology clinic. Spontaneous urinary-bladder rupture is a rare event. Excessive alcohol consumption causes diuresis, over-distension and rupture of the urinary bladder. Initial presentation remains imprecise; continuous urinary leakage leads to abscesses, sepsis, and metabolic derangements. CT scan is imaging modality of choice. The condition is a surgical emergency, and necessitates laparotomy and closure of the breach. J Med Cases. 2016;7(6):245-247 doi: http://dx.doi.org/10.14740/jmc2470w

Spontaneous Rupture of Urinary Bladder in a Young Alcoholic Male

Spontaneous Rupture of Urinary Bladder in a Young Alcoholic Male

A Case of Spontaneous Urinary Bladder Rupture

A Case of Spontaneous Urinary Bladder Rupture

Spontaneous rupture of the bladder: Report of two cases

To report two cases of spontaneous urinary bladder rupture following binge-drinking. Two male patients with history of alcohol abuse and no history of trauma, presented with progressive abdominal distension and features of peritonitis. In both cases. exploratory laparotomy revealed intraperitoneal rupture of the bladder. Primary repair was performed which was followed by an uneventful recovery. Spontaneous rupture of the bladder is a rare occurrence and when encountered, it presents a diagnostic challenge. A diagnosis of spontaneous perforation of the bladder should be considered in alcoholic patients presenting with an acute abdomen in a relatively stable condition and blood biochemistry showing a disproportionately elevated urea and creatinine.

Acute abdomen caused by spontaneous perforation of the urinary bladder in childhood: Report of one case

Spontaneous urinary bladder rupture in children is a very rare clinical occurrence that can be life threatening if left untreated. Patients usually present with symptoms of peritonitis and the correct diagnosis is usually made at surgery. Here, we present a case of spontaneous bladder perforation that was operated with a diagnosis of acute abdomen. No etiological factor for bladder perforation was found, and after the operation, the patient experienced no further problems.

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.

Spontaneous Urinary Bladder Rupture Due to a Hypnotics Overdose

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.

Spontaneous, idiopathic urinary bladder perforation – case report

Spontaneous, idiopathic urinary bladder rupture is a very rare disease entity, which may face the problem of proper preoperative diagnosis. In many cases the medical history, physical examination, and additional tests raise false suspicion of gastrointestinal perforation. The study presented a case of a female patient with spontaneous urinary bladder perforation, paying particular attention to the diagnostic difficulties associated with the above-mentioned pathology. The aim of the study was to analyse the presence of symptoms and imaging and laboratory results observed in case of spontaneous urinary bladder rupture, as well as differentiate the above-mentioned pathology with gastrointestinal perforation. Whenever diagnosing a patient with acute peritonitis symptoms, in whom the predominating symptoms include sudden abdominal pain, peritoneal cavity fluid presence, hematuria, oliguria, and coexisting increased urea, creatinine, and potassium levels, one should consider the possibility of urinary bladder rupture.

腹腔内遊離ガスを伴った膀胱自然破裂の1例

症例は78歳，男性．突然の右下腹部痛を主訴に前医を受診．消化管穿孔が疑われ当センターへ紹介となった．腹部造影CT検査にて腹腔内遊離ガスと腹水の貯留を認めた．また膀胱前壁に接しガスを伴う液体貯留を認めた．消化管穿孔を否定しきれず同日試験開腹術を行った．術中，消化管には異常を認めなかった．術後3日目に逆行性膀胱造影を行い膀胱穿孔と診断した．尿道留置カテーテルによって尿のドレナージは良好であることから保存的治療を行い軽快した．膀胱自然破裂はまれな疾患であり，臨床症状も様々であることから術前正診率が低く，他の急性腹症との鑑別が問題となる．本症例と文献的考察から膀胱周囲の液体貯留やガス像といった腹膜外の所見は本疾患を疑うべき所見である可能性が示唆された．

Diverse presentation of spontaneous rupture of urinary bladder: review of two cases and literature

The objective of the study was to highlight diagnostic dilemmas and suggest pointers toward early diagnosis of spontaneous rupture of urinary bladder based on case study of 2 patients diagnosed as a case of spontaneous rupture of urinary bladder. A 26-year-old man presented with painless progressive abdominal distension of 1-week duration. In absence of acute abdominal symptoms and signs, the diagnosis of chronic liver disease with ascites was entertained. Peritoneal fluid aspirate demonstrated high urea and creatinine levels. Computed tomographic (CT) scan of abdomen suggested urinary bladder rupture, which was further confirmed by CT cystogram. Another 34-year-old man presented with acute abdominal pain, hematuria, and features of peritonitis. There was no history of trauma. Foley catheterization revealed blood-stained urine. Ultrasonography abdomen suggested urinary bladder rupture, which was again confirmed by CT cystogram. Both patients made uneventful recovery after repair of bladder perforation. Spontaneous rupture of urinary bladder is extremely rare with only very few reports available in literature. High creatinine levels in the peritoneal fluid aspirate of the first patient and the blood-stained urine in the second patient were pointers toward possibility of urinary bladder rupture. Rupture of urinary bladder should always be considered in differential diagnosis of patients presenting with free fluid in abdomen/peritonitis, decreased urine output, hematuria and in whom increased level of urea/creatinine are detected in serum and/ or peitoneal fluid aspirate.

Spontaneous Bladder Rupture Following Cystoscopy With Hydrodistention and Biopsy in a Female Patient With Interstitial Cystitis

We report a case of remote spontaneous rupture of urinary bladder following cystourethroscopy with hydrodistention and a bladder biopsy in a patient with interstitial cystitis. This required abdominal exploration with cystorrhaphy. This case emphasizes a unique and dangerous complication of this procedure in a patient with interstitial cystitis.

Opioid toxicity as a cause of spontaneous urinary bladder rupture

Substance abuse, predominantly alcohol, is a recognized etiology of spontaneous bladder rupture. This is the first documented case of spontaneous urinary bladder rupture due to opioid toxicity in an adult.

Spontaneous Rupture of Urinary Bladder Associated With Massive Fecal Impaction (Fecaloma)

We report a case of sudden death due to a catastrophic spontaneous rupture of a urinary bladder associated with megacolon due to a fecal impaction (fecaloma). The massively distended rectum and sigmoid colon filled the pelvic cavity and pressed up against the posterior aspects of the uterus, vagina, and urinary bladder. This produced bladder outlet obstruction, followed by massive dilatation and rupture of the urinary bladder, bilateral hydronephrosis, and a 3.5 liter collection of urinary fluid within the abdominal cavity. Complications of chronic constipation, fecalomas, and rupture of the urinary bladder are reviewed.

Spontaneous Rupture of Urinary Bladder in Second Trimester of Pregnancy: A Case Report

Spontaneous Rupture of Urinary Bladder in Second Trimester of Pregnancy: A Case Report

Spontaneous rupture of urinary bladder in second trimester Of pregnancy

A rare case of spontaneous rupture of urinary bladder in the second trimester of pregnancy is described. This report highlights the rarity of this complication and its diagnostic challenge. The patient presented with acute abdominal pain, voiding difficulty and biochemical features of renal failure. Four days prior to her presentation, she was treated empirically as urinary infection when she complained of retention like symptoms. At laparotomy, around 3 liters of urine found in abdominal cavity with a 2 cm hole in the vault of bladder.TB culture was negative and bladder biopsy showed non specific inflammation. Laparotomy, bladder repair with antibiotics cover and indwelling catheter constitutes the basis of a successful outcome.