An acute abdomen: Spontaneous rupture of liver during pregnancy

1976 ◽  
Vol 63 (9) ◽  
pp. 718-720 ◽  
Author(s):  
Max Baumwol ◽  
W. Park
Keyword(s):  
Acute Abdomen ◽  
Spontaneous Rupture

Spontaneous rupture of choledochal cyst: An unusual cause of acute abdomen in children

1997 ◽  
Vol 32 (5) ◽  
pp. 736-738 ◽  
Author(s):  
İbrahim Karnak F. Cahit Tanyel ◽  
Nebil Büyükpamukçu ◽  
Akgün Hiçsönmez
Keyword(s):  
Acute Abdomen ◽  
Choledochal Cyst ◽  
Spontaneous Rupture

scholarly journals Spontaneous Rupture of Urinary Bladder: Two Case Reports and Review of Literature

2021 ◽  
Vol 8 ◽  
Author(s):  
Yue Zhang ◽  
Shuo Yuan ◽  
Rami W. A. Alshayyah ◽  
Wankai Liu ◽  
Yang Yu ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Urinary Bladder ◽  
Antibiotic Therapy ◽  
Acute Abdomen ◽  
Spontaneous Rupture ◽  
Bladder Tumor ◽  
Bladder Rupture ◽  
Intraperitoneal Rupture ◽  
History Of ◽  
Ct Cystography

Objectives: Spontaneous rupture of the urinary bladder (SRUB) is extremely rare and might be misdiagnosed, leading to a high mortality rate. The current study aimed to identify the cause, clinical features, and diagnosis strategy of SRUB.Methodology: We presented a case report for two women (79 and 63 years old) misdiagnosed with acute abdomen and acute kidney injury, respectively, who were finally confirmed to have SRUB by a series of investigations and exploratory surgery. Meanwhile, literature from multiple databases was reviewed. PubMed, the Chinese National Knowledge Infrastructure (CNKI), the Chinese Biological Medical Literature Database (CBM), WANFANG DATA, and the Chongqing VIP database for Chinese Technical Periodicals (VIP) were searched with the keywords “spontaneous bladder rupture” or “spontaneous rupture of bladder” or “spontaneous rupture of urinary bladder.” All statistical analyses were conducted using SPSS 20.0 software.Results: A total of 137 Chinese and 182 English literature papers were included in this article review. A total of 713 SRUB patients were analyzed, including the two patients reported by us. The most common cause of SRUB was alcohol intoxication, lower urinary tract obstruction, bladder tumor or inflammation, pregnancy-related causes, bladder dysfunction, pelvic radiotherapy, and history of bladder surgery or bladder diverticulum. Most cases were diagnosed by exploratory laparotomy and CT cystography. Patients with extraperitoneal rupture could present with abdominal pain, abdominal distention, dysuria, oliguria or anuria, and fever. While the main symptoms of intraperitoneal rupture patients could be various and non-specific. The common misdiagnoses include acute abdomen, inflammatory digestive disease, bladder tumor or inflammation, and renal failure. Most of the patients (84.57%) were treated by open surgical repair, and most of them were intraperitoneal rupture patients. Overall, 1.12% of patients were treated by laparoscopic surgery, and all of them were intraperitoneal rupture patients. Besides, 17 intraperitoneal rupture patients and 6 extraperitoneal rupture patients were treated by indwelling catheterization and antibiotic therapy. Nine patients died of delayed diagnosis and treatment.Conclusions: SRUB often presents with various and non-specific symptoms, which results in misdiagnosis or delayed treatment. Medical staff noticing abdominal pain suggestive of peritonitis with urinary symptoms should be suspicious of bladder rupture, especially in patients with a history of bladder disease. CT cystography can be the best preoperative non-invasive examination tool for both diagnosis and evaluation. Conservative management in the form of urine drainage and antibiotic therapy can be used in patients without severe infection, bleeding, or major injury. Otherwise, surgical treatment is recommended. Early diagnosis and management of SRUB are crucial for an uneventful recovery.

A rare case of acute abdomen: spontaneous rupture of degenerated fibroid

2021 ◽  
Vol 14 (3) ◽  
pp. e238010
Author(s):  
Nidhi Goswami ◽  
Aderemi Alalade
Keyword(s):  
Ct Scan ◽  
Acute Abdomen ◽  
Spontaneous Rupture ◽  
Rare Case ◽  
Surgical Intervention ◽  
Elective Surgery ◽  
Fluid Collection ◽  
Emergency Laparotomy ◽  
Rare Presentation ◽  
Large Uterus

A 29-year-old nulliparous woman presented with an acute abdomen. She had a large uterus with multiple fibroids and was on the waiting list for elective surgery. An urgent CT scan demonstrated an extensive intraperitoneal fluid collection suspicious for fibroid rupture. She required an emergency laparotomy which identified a rupture of the largest degenerative fibroid. There was 2 Litres of pus in the peritoneal cavity. This case was a rare presentation of spontaneous fibroid rupture due to degeneration and necrosis, and acute abdomen from peritoneal irritation. Imaging was vital in making the diagnosis, and urgent surgical intervention was essential to reduce morbidity and mortality.

scholarly journals Spontaneous rupture of a pancreatic acinar cell carcinoma presenting as an acute abdomen

2012 ◽  
Vol 3 (7) ◽  
pp. 293-295 ◽  
Author(s):  
Afshin Mohammadi ◽  
Jalal Porghasem ◽  
Arefeh Esmaeili ◽  
Mohammad Ghasemi-rad
Keyword(s):  
Cell Carcinoma ◽  
Acute Abdomen ◽  
Acinar Cell ◽  
Spontaneous Rupture ◽  
Acinar Cell Carcinoma ◽  
Pancreatic Acinar Cell ◽  
Pancreatic Acinar Cell Carcinoma

A Rare Cause of Acute Abdomen in Children: Spontaneous Rupture of Choledochal Cyst Causing Peritonitis

2021 ◽  
Vol 5 (3) ◽  
pp. 01-04
Author(s):  
Ozlem Kadirhan ◽  
Sonay Aydin ◽  
Mecit Kantarci
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Acute Abdomen ◽  
Spontaneous Rupture ◽  
Duct Cyst ◽  
Cyst Excision ◽  
Bile Duct Cyst ◽  
Increased Risk ◽  
History Of ◽  
Pancreatic Reflux

Spontaneous rupture of the common bile duct cyst is a rare cause of acute abdomen in children. In our case, we present a 3-year-old patient with no history of trauma, whose diagnosis was confirmed by laparotomy, with a possible suspected common bile duct cyst due to massive ascites and a cystic lesion in the portal area. Although common bile duct cysts are mostly asymptomatic, various studies have shown that malignant transformation can cause important complications such as pancreatitis.Numerous causes have been suggested in the etiopathogenesis of rupture, such as parietal necrosis associated with pancreatic reflux irritation.Since rupture of cysts may require urgent laparotomy such as biliary peritonitis, it is important to know imaging findings that may be warning for early diagnosis. Because of the increased risk of cholangiocarcinoma after cyst excision, cholecystectomy and Roux-en-Y hepaticojejunostomy are the most common treatment procedures.

scholarly journals Spontaneous Rupture of Splenic Hemangioma in a Neonate

2016 ◽  
Vol 5 (3) ◽  
pp. 36
Author(s):  
Bruno Martinez-Leo ◽  
Jorge Vidal-Medina ◽  
Jesus Cervantes-Ledezma ◽  
Arid Diaz de Leon-Rivera ◽  
Edith Diaz-Velasco
Keyword(s):  
Acute Abdomen ◽  
Spontaneous Rupture ◽  
Neonatal Period ◽  
Hypovolemic Shock ◽  
Circulatory Shock ◽  
Vascular Tumors

Spleen vascular tumors such as hemangiomas, albeit rare, can present during neonatal period with unexplained circulatory shock. We present a case of a newborn with refractory hypovolemic shock and acute abdomen that underwent emergency splenectomy due to spontaneous rupture of a splenic hemangioma.

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