Delayed diagnosis of spontaneous rupture of a congenital bladder diverticulum as a rare cause of an acute abdomen

2018 ◽  
Vol 89 (9) ◽  
Author(s):  
Maneka M. Britto ◽  
Henry H. I. Yao ◽  
Nicholas Campbell
Keyword(s):  
Acute Abdomen ◽  
Spontaneous Rupture ◽  
Delayed Diagnosis ◽  
Bladder Diverticulum

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

scholarly journals Spontaneous Intraperitoneal Rupture of Bladder Diverticulum: A Rare Cause of Peritonitis

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Ahmed Ibrahimi ◽  
Adil Kallat ◽  
Idriss Ziani ◽  
Hachem El Sayegh ◽  
Lounis Benslimane ◽  
...  
Keyword(s):  
Spontaneous Rupture ◽  
Delayed Diagnosis ◽  
Outlet Obstruction ◽  
Benign Prostatic Hypertrophy ◽  
Surgical Excision ◽  
Prostatic Hypertrophy ◽  
Bladder Diverticulum ◽  
Intraperitoneal Rupture ◽  
Generalized Peritonitis ◽  
Underlying Diseases

Spontaneous rupture of acquired bladder diverticulum in an adult patient is an extremely rare pathological entity with only 15 cases reported in the available literature. Etiologies are dominated by bladder outlet obstruction, represented mainly by benign prostatic hypertrophy (BPH) in elderly men. Clinical presentation is nonspecific, leading to delayed diagnosis and treatment. Surgical management is the standard approach for intraperitoneal rupture of bladder diverticulum. The prognosis depends on the earliness of treatment, associated comorbidity, and the nature of underlying diseases. Herein, we report a rare case of a 65-year-old male patient, who presented a spontaneous rupture of a large acquired bladder diverticulum, secondary to acute urinary retention complicating benign prostatic hypertrophy. The diagnosis was suspected in the presence of generalized peritonitis associated with lower urinary tract symptoms (LUTS) and was confirmed accurately and promptly by a computed tomography (CT) of the abdomen and pelvis. The patient underwent a successful surgical excision of the diverticulum and bladder repair without delay. The postoperative course was uneventful, and he was discharged from the hospital without any complication.

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.

scholarly journals Antenatal Spontaneous Renal Forniceal Rupture Presenting as an Acute Abdomen

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Jennifer Travieso ◽  
Omar M. Young
Keyword(s):  
Acute Abdomen ◽  
Delayed Diagnosis ◽  
Kidney Injury ◽  
Percutaneous Nephrostomy ◽  
Gravid Uterus ◽  
Intractable Pain ◽  
Second Trimester ◽  
Improved Outcomes ◽  
Maternal And Neonatal Outcomes ◽  
In Pregnancy

Background. Renal forniceal rupture is a lesser-known cause of acute abdomen in pregnancy. The ureteral compression by the gravid uterus places pregnant women at a higher risk. Sequelae in pregnancy could include intractable pain, acute kidney injury, and preterm birth.Case. A 22-year-old primigravida with no prior medical history presented with an acute abdomen in her second trimester. The diagnosis of renal forniceal rupture was made by a radiologist using MRI. A percutaneous nephrostomy catheter was placed, and the patient’s pain was relieved. She subsequently delivered at term.Conclusion. Upon presentation of an acute abdomen in pregnancy, providers may not include renal forniceal rupture in their differential as readily as obstetric or gynecologic causes, resulting in delayed diagnosis, unnecessary invasive interventions, and potentially adverse maternal and neonatal outcomes. Increasing provider awareness could result in improved outcomes.

scholarly journals Right Hydronephrosis as a Complication of Acute Appendicitis

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Selahattin Koray Okur ◽  
Yavuz Savaş Koca ◽  
İhsan Yıldız ◽  
İbrahim Barut
Keyword(s):  
Urinary Tract ◽  
Acute Appendicitis ◽  
Antibiotic Therapy ◽  
Acute Abdomen ◽  
Delayed Diagnosis ◽  
Scoring Systems ◽  
Pelvic Abscess ◽  
Diagnostic Process ◽  
Abdominal Ultrasonography ◽  
Tract Infections

Introduction. Acute appendicitis is the most common cause of acute abdomen, but atypical appendicitis may lead to delayed diagnosis and related complications. In this report, we present a very rare case of acute appendicitis causing right hydronephrosis.Case Report. A 54-year-old male patient who had been receiving antibiotic therapy due to the diagnosis of urinary tract infection for the last one week but had no clinical improvement was admitted to the emergency service. Abdominal computed tomography (CT) showed right hydronephrosis and a pelvic abscess. After appendectomy and abscess drainage had been performed, hydronephrosis was completely recovered.Discussion. The use of appendicitis scoring systems, abdominal ultrasonography (USG), abdominal CT, and diagnostic laparoscopy can be useful for the diagnostic process in patients presenting with acute abdomen. In our patient, we considered that the surgical treatment was delayed since the symptoms of acute appendicitis were suppressed by the antibiotic therapy that was being administered due to the complaints including symptoms of urinary tract infections.Conclusion. Atypical appendicitis may cause a delay in the diagnosis of acute appendicitis and thus may lead to serious complications such as right hydronephrosis, prolonged hospital stay, increased morbidity and mortality, and increased antibiotic resistance.

scholarly journals A CASE OF SPONTANEOUS RUPTURE OF THE ESOPHAGUS SALVAGED BY SURGERY DESPITE THE DELAYED DIAGNOSIS

1993 ◽  
Vol 54 (8) ◽  
pp. 2067-2071
Author(s):  
Noriyuki KUNIMATSU ◽  
Shinji YAMAMOTO ◽  
Toshiya TAKEMURA ◽  
Takashi KUBA ◽  
Makoto NAKANO ◽  
...  
Keyword(s):  
Spontaneous Rupture ◽  
Delayed Diagnosis
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