scholarly journals Extraperitoneally Ruptured, Everted, and Prolapsed Bladder: A Very Rare Complication of Pelvic Injury

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Rufus Wale Ojewola ◽  
Kehinde Habeeb Tijani ◽  
Olakunle Olaleke Badmus ◽  
Abisola Ekundayo Oliyide ◽  
Chukwudi Emmanuel Osegbe
Keyword(s):  
Rare Complication ◽  
Bladder Wall ◽  
Vaginal Wall ◽  
Pelvic Injury ◽  
Traumatic Rupture ◽  
Perineal Laceration ◽  
Surgery Patient ◽  
Perineal Defect ◽  
Rupture Of The Bladder ◽  
Pelvic Disruption

Traumatic rupture of the bladder with eversion and protrusion via the perineum is a rare complication of pelvic injury. We present a 36-year-old lady who sustained severe pelvic injury with a bleeding right-sided deep perineal laceration. She had closed reduction of pelvic fracture with pelvic banding and primary closure of perineal laceration at a private hospital. She subsequently had dehiscence of repaired perineal laceration with protrusion of fleshy mass from vulva and leakage of urine per perineum five weeks later. Examination revealed a fleshy mucosa-like mass protruding anteriorly with a bridge of tissue between it and right anterolateral vaginal wall. Upward pressure on this mass revealed the bladder neck and ureteric orifices. She had perineal and pelvic exploration with findings of prolapsed, completely everted bladder wall through a transverse anterior bladder wall rent via the perineum, and an unstable B1 pelvic disruption. She had repair of the ruptured, everted, and prolapsed bladder, double-plate and screw fixation of disrupted pelvis and repair of the pelvic/perineal defect. She commenced physiotherapy and ambulation a week after surgery. Patient now walks normally and is continent of urine. We conclude that the intrinsic urethral continent mechanism plays a significant role in maintaining continence in females.

scholarly journals Penile dislocation with inversion: A rare complication of blunt pelvic injury

2018 ◽  
Vol 23 (2) ◽  
pp. 90
Author(s):  
Ravindra Sahadev ◽  
Vinay Jadhav ◽  
NarendraBabu Munianjanappa ◽  
Gowri Shankar
Keyword(s):  
Rare Complication ◽  
Pelvic Injury

scholarly journals Spontaneous Bladder Rupture after Normal Vaginal Delivery: Description of a Rare Complication and Systematic Review of the Literature

Diagnostics ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. 1885
Author(s):  
Guglielmo Stabile ◽  
Francesco Cracco ◽  
Davide De Santo ◽  
Giulia Zinicola ◽  
Federico Romano ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Vaginal Delivery ◽  
Rare Complication ◽  
Diagnostic Methods ◽  
Pelvic Surgery ◽  
Bladder Rupture ◽  
Normal Vaginal Delivery ◽  
X Rays ◽  
Spontaneous Bladder Rupture ◽  
Rupture Of The Bladder

Objective: To identify the possible causes of spontaneous bladder rupture after normal vaginal delivery and to propose a diagnostic and therapeutic algorithm. Material and Methods: MEDLINE (PubMed), Web of Science and Scopus databases were searched up to August 2020. Manuscripts considered were published from 1990 and only English articles were included. The research strategy adopted included the following terms: (bladder rupture) AND (spontaneous) AND (delivery). 103 studies were identified. Duplicates were found through an independent manual screening. Subsequently, two authors independently screened the full text of articles and excluded those not pertinent to the topic. Discrepancies were resolved by consensus. Finally, thirteen studies were included. Results: PRISMA guidelines were followed. For each study, fetal weight, catheterization during labor, parity, maternal age, occurrence time, previous abdominal or pelvic surgery, symptoms complained of, diagnostic methods, and treatment were considered. Median age was 26.0 (range 20–34 years); median presentation time was 3.0 days after delivery (range 1–20 days); and median newborn weight was 3227.0 g (range 2685–3600 g). Catheterization during labor was reported only in four of the thirteen cases (30.8%) identified. The symptoms most frequently complained of were abdominal pain and distension, fever, oliguria, haematuria and vomiting. Instrumental diagnosis was performed using X-rays in five cases and computerized tomography in six cases. Ultrasound was chosen in five cases as a first diagnostic tool. In two cases, cystography was performed. Treatment was always laparotomic repair of the visceral defect. Conclusion: Abdominal pain, increased creatinine and other signs of kidney failure on blood tests should lead to suspicion of this complication. Cystourethrography is regarded as a procedure of choice, but a first ultrasound approach is recommended. The main factor for the therapeutic choice is the intraperitoneal or extraperitoneal rupture of the bladder. Classical management for intraperitoneal rupture of the bladder is surgical repair and urinary rest.

scholarly journals Two Case Reports of Varicocele Rupture during Sexual Intercourse and Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Chalil Arif ◽  
Konstantinos Kotoulas ◽  
Chrysostomos Georgellis ◽  
Konstantinos Frigkas ◽  
Athanasios Bantis ◽  
...  
Keyword(s):  
Sexual Intercourse ◽  
Spermatic Cord ◽  
Case Reports ◽  
Rare Complication ◽  
Traumatic Rupture ◽  
Male Population ◽  
First Case ◽  
Key Points ◽  
General Male Population ◽  
Scrotal Hematoma

Varicocele is characterized by the dilatation of the veins of the spermatic cord. Its prevalence in general male population is 15% while in the infertile population the prevalence rises up to 25%. The varicocele is considered an etiological factor for male infertility. Although different pathophysiological patterns have been proposed, there is no consensus in the urological society to date. In most of the cases varicocele is asymptomatic but sometimes gives mild symptoms as dull pain at the scrotal region. A rare complication of this condition is the spontaneous or traumatic rupture and hematoma formation, either as spermatic cord hematoma or as scrotal hematoma. We are presenting two cases of varicocele rupture, presented with acute painful swelling of the left inguinal and scrotal region during sexual intercourse. Imaging studies revealed a scrotal hematoma in the first case and a spermatic cord hematoma in the second case, without signs of active bleeding. Both patients were treated conservatively and recovered uneventfully. Subsequently, we reviewed the literature in an effort to find the key points for the diagnosis and treatment of this condition.

scholarly journals Post Circumcision Intraperitoneal Rupture of the Urinary Bladder: A Rare Complication

2020 ◽  
Vol 08 (01) ◽  
pp. e14-e17
Author(s):  
Sherif Abdelmaksoud ◽  
Mohammed Albishbishy ◽  
Mostafa Elayyouti ◽  
Mohamed Zohiri ◽  
Adham Elsaied
Keyword(s):  
Urinary Bladder ◽  
Rare Case ◽  
Rare Complication ◽  
Bladder Wall ◽  
Abdominal Distension ◽  
Bladder Rupture ◽  
Postoperative Course ◽  
Intraperitoneal Rupture ◽  
The World ◽  
Intraperitoneal Bladder Rupture

AbstractCircumcision is one of the most common pediatric surgical procedures performed all over the world and especially in Arab and Islamic countries. Many complications have been documented following this maneuver. We report on a rare case of intraperitoneal bladder rupture in a 7-day-old baby who was circumcised on his second day using the guillotine method. He presented to us with gangrene of the tip of the penis and a failure to void urine associated with progressive abdominal distension. Ultrasound revealed severe ascites. Aspiration and analysis confirmed the fluid to be urine. Ascending cystourethrogram was performed revealing a perforation of the posterior bladder wall near the trigone. Exploration was performed and repair done. Postoperative course was uneventful.

scholarly journals Incarcerated Uterus Presenting as Short Cervix and Placenta Previa

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Ali Alhousseini ◽  
Salam Zeineddine ◽  
Adham Alsamsam ◽  
Bernard Gonik ◽  
Jacques Abramowicz ◽  
...  
Keyword(s):  
Placenta Previa ◽  
Rare Complication ◽  
Vaginal Wall ◽  
Cervical Length ◽  
Anterior Vaginal Wall ◽  
Ultrasound Images ◽  
Presumptive Diagnosis ◽  
Short Cervix ◽  
Spontaneous Correction

Introduction. Incarcerated uterus is a rare complication of pregnancy, usually associated with retroversion. Case. A 26-year-old woman presents at 19 4/7 weeks for evaluation of a short cervix and placenta previa. On ultrasound scan, the placenta was considered previa and the cervix was not visualized. The cervix was not identified by pelvic examination and the presumptive diagnosis of short cervix was done. The patient was followed up closely and remained asymptomatic. Retrospective analysis of the ultrasound images showed a retroverted uterus with an elongated cervix compressed towards the anterior vaginal wall. At 26 weeks of gestation, ultrasound showed a cervical length of 41 mm and a fundal placenta and the diagnosis of spontaneous correction of an incarcerated uterus was made. The patient had an uncomplicated vaginal delivery at 39 3/7 weeks. Comment. Identification and close follow-up of incarcerated uterus may potentially help in avoiding serious obstetrical and surgical complications.

scholarly journals Dislocation of the penis: a rare complication after traumatic pelvic injury

2015 ◽  
Vol 56 (01) ◽  
pp. e4-e6
Author(s):  
MC Lim ◽  
S Srinivasan ◽  
HS Teh ◽  
CP Teo
Keyword(s):  
Rare Complication ◽  
Pelvic Injury

scholarly journals Asymptomatic Lupus Cystitis with Bilateral Hydronephrosis

2018 ◽  
Vol 8 (3) ◽  
pp. 192-197 ◽  
Author(s):  
Lucky Aziza Bawazier
Keyword(s):  
Lupus Erythematosus ◽  
Vaginal Bleeding ◽  
Rare Complication ◽  
Bladder Wall ◽  
Abdominal Ultrasound ◽  
Bilateral Hydronephrosis ◽  
Presenting Symptoms ◽  
History Of ◽  
Accompanying Symptoms ◽  
Abdominal Ultrasound Examination

Lupus cystitis is a rare complication of systemic lupus erythematosus (SLE). It is characterized by an increase in bladder wall thickness and may be associated with hydroureteronephrosis. Reports, mostly from East Asian countries, indicate that lupus cystitis usually presents with gastrointestinal tract symptoms such as diarrhea, nausea, or abdominal pain. Lower urinarytract symptoms such as dysuria, nocturia, polyuria, and suprapubic pain are also common presenting symptoms. We report a 22-year-old female patient who presented at Cipto Mangunkusumo Teaching Hospital in Indonesia, with profuse and prolonged vaginal bleeding without any other accompanying symptoms. She had a history of polyarthralgias, fever, bleeding gums, anemia, and thrombocytopenia 3 months earlier. Abdominal ultrasound examination revealed bilateral hydronephrosis and a thickened bladder wall; the other organs were normal. Laboratory examination confirmed the diagnosis of SLE complicated by lupus nephritis and lupus cystitis. The patient responded well to the treatment with methylprednisolone. The vaginal bleeding stopped within 2 days, and the laboratory parameters improved. She was discharged on oral methylprednisolone and is scheduled for detailed workup after 1 month.

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