Splash! The spontaneous rupture of a bladder diverticulum: a rare cause of an acute abdomen

2013 ◽  
Vol 83 (10) ◽  
pp. 792-793 ◽  
Author(s):  
Olivia Leahy ◽  
Jeremy Grummet
Keyword(s):  
Acute Abdomen ◽  
Spontaneous Rupture ◽  
Bladder Diverticulum

Spontaneous Rupture of a Bladder Diverticulum: A Case Report

2006 ◽  
Vol 54 (4) ◽  
pp. 293
Author(s):  
Hee Sun Park ◽  
Seung Huyp Kim ◽  
Sun Ho Kim ◽  
Sung Il Hwang ◽  
Sung Il Jung
Keyword(s):  
Case Report ◽  
Spontaneous Rupture ◽  
Bladder Diverticulum

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.

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

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

scholarly journals Spontaneous rupture of bladder diverticulum: a case report of non-traumatic extraperitoneal urinary bladder rupture managed with surgical intervention

2021 ◽  
Vol 8 (11) ◽  
pp. 3437
Author(s):  
Lim Shiau Ping
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Urinary Bladder ◽  
Acute Abdomen ◽  
Operative Time ◽  
Surgical Intervention ◽  
Bladder Rupture ◽  
Bladder Diverticulum ◽  
Gross Hematuria ◽  
Prompt Diagnosis

Spontaneous extraperitoneal bladder rupture is a rare urology emergency. Most of the extraperitoneal urinary bladder rupture cases were management conservatively. To my best knowledge, there was very few reported about outcome of surgical management for spontaneous extraperitoneal urinary bladder rupture. Herein we shared our experience treating a 84 year old male who first presented with gross hematuria and frequent clots retention. Later he developed septic shock and peritonism which prompted us to do an urgent CT and found out the cause of his acute abdomen. The dilemma we faced to go in for operation was explained and patient had a turbulent post-operative time and he eventually succumbed to death due to various factors. Spontaneous extraperitoneal urinary bladder rupture is a rare cause of acute abdomen and prompt diagnosis and management can produce best clinical outcome.

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