scholarly journals Spontaneous Bladder Perforation in an Infant Neurogenic Bladder: Laparoscopic Management

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Daniel Cabezalí Barbancho ◽  
Felix Guerrero Ramos ◽  
Francisco López Vázquez ◽  
Adolfo Aransay Bramtot ◽  
Andrés Gómez Fraile
Keyword(s):  
Acute Abdomen ◽  
Neurogenic Bladder ◽  
Signs And Symptoms ◽  
Bladder Augmentation ◽  
Bladder Perforation ◽  
Bladder Rupture ◽  
Free Fluid ◽  
Clean Intermittent Catheterization ◽  
Voiding Function ◽  
Spontaneous Bladder Rupture

Spontaneous bladder perforation is an uncommon event in childhood. It is usually associated with bladder augmentation. We are presenting a case of bladder rupture in an infant with neurogenic bladder without prior bladder surgery. Three days after lipomyelomeningocele excision the patient showed signs and symptoms of acute abdomen. The ultrasound exploration revealed significant amount of intraperitoneal free fluid and therefore a laparoscopic exploration was performed. A posterior bladder rupture was diagnosed and repaired laparoscopically. Currently, being 3 years old, she keeps successfully dry with clean intermittent catheterization. Neurogenic bladder voiding function can change at any time of its evolution and lead to complications. Early diagnosis of spontaneous bladder rupture is of paramount importance, so it is essential to think about it in the differential diagnosis of acute abdomen.

A case of acute abdomen caused by bladder rupture attributable to diabetic neurogenic bladder

2013 ◽  
Vol 5 (2) ◽  
pp. 144-147
Author(s):  
Daiji Kawanami ◽  
Yukiko Yoshikawa ◽  
Daisuke Tsujino ◽  
Masaya Sakamoto ◽  
Yoichi Sakamoto ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Neurogenic Bladder ◽  
Bladder Rupture

scholarly journals Non-Traditional Management of the Neurogenic Bladder: Tissue Engineering and Neuromodulation

2007 ◽  
Vol 7 ◽  
pp. 1230-1241 ◽  
Author(s):  
Jane M. Lewis ◽  
Earl Y. Cheng
Keyword(s):  
Tissue Engineering ◽  
Spina Bifida ◽  
Neurogenic Bladder ◽  
Cell Biology ◽  
Bladder Wall ◽  
Bladder Augmentation ◽  
Current Status ◽  
Urinary Continence ◽  
Clean Intermittent Catheterization ◽  
Bladder Tissue

Patients with spina bifida and a neurogenic bladder have traditionally been managed with clean intermittent catheterization and pharmacotherapy in order to treat abnormal bladder wall dynamics, protect the upper urinary tract from damage, and achieve urinary continence. However, some patients will fail this therapy and require surgical reconstruction in the form of bladder augmentation surgery using reconfigured intestine or stomach to increase the bladder capacity while reducing the internal storage pressure. Despite functional success of bladder augmentation in achieving a low pressure reservoir, there are several associated complications of this operation and patients do not have the ability to volitionally void. For these reasons, alternative treatments have been sought. Two exciting alternative approaches that are currently being investigated are tissue engineering and neuromodulation. Tissue engineering aims to create new bladder tissue for replacement purposes with both “seeded” and “unseeded” technology. Advances in the fields of nanotechnology and stem cell biology have further enhanced these tissue engineering technologies. Neuromodulation therapies directly address the root of the problem in patients with spina bifida and a neurogenic bladder, namely the abnormal relationship between the nerves and the bladder wall. These therapies include transurethral bladder electrostimulation, sacral neuromodulation, and neurosurgical techniques such as selective sacral rhizotomy and artificial somatic-autonomic reflex pathway construction. This review will discuss both tissue engineering techniques and neuromodulation therapies in more detail including rationale, experimental data, current status of clinical application, and future direction.

scholarly journals A Case of Idiopathic Recurrent Spontaneous Bladder Rupture

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Reid Bartholomew ◽  
Mentor Ahmeti
Keyword(s):  
Abdominal Pain ◽  
Operating Room ◽  
Neurogenic Bladder ◽  
Bladder Rupture ◽  
Contrast Extravasation ◽  
Spontaneous Bladder Rupture ◽  
Ischemic Bowel ◽  
History Of ◽  
Radiation Stricture ◽  
Elevated Creatinine

Background. A female patient presented four years following spontaneous bladder rupture with a recurrent spontaneous bladder rupture. Summary. Urinary bladder rupture is a condition usually caused by trauma or surgical instrumentation. Spontaneous bladder rupture is a much more uncommon condition and is associated with intoxication, radiation, stricture, or neurogenic bladder. We describe a case of a 40-year-old woman with a history of three caesarian sections with an idiopathic recurrent spontaneous bladder rupture. Originally, she presented with one day of worsening severe abdominal pain. CT showed possible ischemic bowel. She was taken to the operating room (OR) and found to have a bladder rupture. This was repaired, and she did well postoperatively. Four years later, she presented to the emergency department (ED) with one week of worsening abdominal pain that became severe acutely. Given that she had a similar issue four years prior the patient was suspicious, her bladder was again ruptured. CT cystogram showed contrast extravasation into the peritoneum. The patient was taken urgently to the operating room for an open repair of the bladder rupture. She did well following the procedure. Conclusion. Spontaneous bladder rupture is a surgical emergency and should be in the differential diagnosis of any patient with peritonitis with elevated creatinine and free intraperitoneal fluid. This diagnosis should especially be considered if the patient has a history pelvic radiation, neurogenic bladder, or intoxication. We submit that a history of multiple pelvic surgeries should be included in this list. CT cystogram is the diagnostic test of choice. Operative repair is generally the treatment for this condition.

A rare case of spontaneous bladder rupture in bladder extrophy

1996 ◽  
Vol 63 (1_suppl) ◽  
pp. 63-64
Author(s):  
G. Marino ◽  
R. Cevoli ◽  
E. Pugno ◽  
V. Cocimano
Keyword(s):  
Rare Case ◽  
Bladder Augmentation ◽  
Bladder Rupture ◽  
Spontaneous Bladder Rupture ◽  
Functional Factors

The authors report a rare case of spontaneous bladder rupture in a 13-year-old girl who underwent functional closure for bladder extrophy. Although bladder rupture can happen in operations for bladder augmentation, it is very rare in the above cases. The pathogenesis of this complication due to anatomical and functional factors is analysed, emphasising the need for careful long-term urologic follow-up.

scholarly journals Spontaneous Bladder Rupture Associated with Neurogenic Bladder Dysfunction Diagnosed Preoperatively

2008 ◽  
Vol 19 (2) ◽  
pp. 99-105 ◽  
Author(s):  
Masaru Nagato ◽  
Nobuya Harayama ◽  
Teruo Iwata ◽  
Syun-ichi Nihei ◽  
Keiji Aibara ◽  
...  
Keyword(s):  
Neurogenic Bladder ◽  
Bladder Dysfunction ◽  
Bladder Rupture ◽  
Neurogenic Bladder Dysfunction ◽  
Spontaneous Bladder Rupture

scholarly journals Traumatic Gallbladder Perforation in Children – Case Report and Review

2021 ◽  
Author(s):  
Melanie Thanh Phuong Le ◽  
Jochen Herrmann ◽  
Michael Groth ◽  
Konrad Reinshagen ◽  
Michael Boettcher
Keyword(s):  
Case Report ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Recent Literature ◽  
Signs And Symptoms ◽  
Gallbladder Wall ◽  
Gallbladder Perforation ◽  
Free Fluid ◽  
Key Points ◽  
Magnetic Resonance Imaging Mri

Background Gallbladder perforation is a very rare finding in children. Clinical and radiografic presentations are often vague. Hence it is a challenging diagnosis, often missed during initial evaluation with potentially fatal consequences. The aim of this case report and review was to identify factors that might help to diagnose and manage future cases. Methods We present a case of gallbladder perforation in an 8-year-old child after blunt abdominal trauma caused by a handlebar in which imaging modalities such as ultrasound and magnetic resonance imaging (MRI) helped us to determine proper management. We identified and evaluated comparable cases for isolated traumatic gallbladder injury. A review of the recent literature was performed by online search in Pubmed and Google Scholar using “gallbladder injury in children”, “gallbladder perforation children”, “blunt abdominal trauma children” as keywords. We focused on articles exclusively in the pediatric section. The literature from the period 2000–2020 was taken into account to review the state of the art in diagnosis and management. Results and Conclusion Recent literature for gallbladder injury in pediatrics is sparse compared to the adult counterpart. Only eight published cases of isolated gallbladder injury in children were identified. Since the onset of symptoms may not develop acutely and often develops in an indistinct manner, radiografic examinations play an important role in the diagnostic progress. The authors advise caution in cases of blunt abdominal trauma especially involving handlebars, intraperitoneal free fluid, and severe abdominal pain. We advocate high suspicion of gallbladder perforation if the gallbladder wall displays discontinuation or cannot be definitively differentiated in sonografic examination. Echogenic fluid within the gallbladder should always lead to suspicion of intraluminal bleeding. Repeated clinical and imaging examinations are mandatory since the onset of signs and symptoms may be delayed. Key Points:  Citation Format

Long-Term Urodynamics Followup of Bladder Augmentation for Neurogenic Bladder

2003 ◽  
Vol 169 (1) ◽  
pp. 195-198 ◽  
Author(s):  
MARCUS L. QUEK ◽  
DAVID A. GINSBERG
Keyword(s):  
Neurogenic Bladder ◽  
Bladder Augmentation
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