Intraperitoneal Urinary Bladder Rupture as a Cause of Pneumoperitoneum

2021 ◽  
pp. 000313482110257
Author(s):  
Dar Parvez M ◽  
Kour Supreet ◽  
Sharma Ajay ◽  
Kumar Subodh
Keyword(s):  
Urinary Bladder ◽  
Primary Repair ◽  
Exploratory Laparotomy ◽  
Pelvic Trauma ◽  
Bladder Rupture ◽  
Abdominal Pressure ◽  
Trauma Patients ◽  
Hollow Viscus ◽  
Sudden Rise ◽  
Intraperitoneal Bladder Rupture

The most common cause of pneumoperitoneum in trauma patients is hollow viscus injury; however, in patients with pneumoperitoneum on imaging and normal hollow viscus during the laparotomy, other rare causes of pneumoperitoneum like intraperitoneal urinary bladder rupture should be ruled out. Urinary bladder can rupture either extraperitoneally or intraperitoneally or both. Rupture of the urinary bladder is commonly seen in patients with abdominal trauma; however, pneumoperitoneum is usually not seen in patients with traumatic bladder rupture. Intraperitoneal bladder rupture is usually due to the sudden rise in intra-abdominal pressure following abdominal or pelvic trauma. However, it is a rare cause of pneumoperitoneum and is managed by surgical repair. We present a case of blunt trauma abdomen with pneumoperitoneum due to isolated intraperitoneal bladder rupture who was managed by exploratory laparotomy and primary repair of the urinary bladder.

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.

An Unusual Iatrogenic Injury of Urinary Bladder Following Foley’s Catheterization

2020 ◽  
Keyword(s):  
Abdominal Pain ◽  
Urinary Bladder ◽  
Bladder Wall ◽  
Signs And Symptoms ◽  
Pelvic Trauma ◽  
Iatrogenic Injury ◽  
Bladder Rupture ◽  
Bladder Diverticulum ◽  
Urethral Trauma ◽  
Prostatic Enlargement

Urinary bladder perforation is most commonly observed after pelvic trauma. It can also be a result of iatrogenic injury during various surgical procedures. Very rarely, diseased bladder can spontaneously rupture. Traumatic bladder rupture is a serious event with mortality rate approaching 50%. Urinary bladder diverticulae are present of the bladder wall and are a consequence of bladder outflow obstruction, for example in prostatic enlargement. Foley’s catheterization is most commonly associated commonly with urethral trauma. We presented a emphasis is made unique case of perforation of urinary bladder diverticulum after Foley’s catheterization. To the best of our knowledge, such a case has never been reported before in the medical literature. An emphasis was made on the fact that, physicians should keep in mind the differential of perforated urinary bladder while attending a patient with abdominal pain because the signs and symptoms are very non specificurinary bladder while attending a patient with abdominal pain just because its signs and symptoms are very non-specific. In addition, missing a perforated urinary bladder is easy and can result in significant morbidity and mortality. Keywords: Bladder Diverticulum; Urinary Catheters; Perforation.

Managing trauma patients with abdominal compartment syndrome

2000 ◽  
Vol 20 (6) ◽  
pp. 48-58 ◽  
Author(s):  
DE Fritsch ◽  
RA Steinmann
Keyword(s):  
Signs And Symptoms ◽  
Operative Management ◽  
Pelvic Trauma ◽  
Fluid Replacement ◽  
Definitive Treatment ◽  
Abdominal Pressure ◽  
Trauma Patients ◽  
Increased Risk ◽  
Massive Fluid ◽  
Nonsurgical Patients

ACS is due to a rapid increase in intra-abdominal pressure. Although ACS may occur in both surgical and nonsurgical patients, patients who have abdominal or pelvic trauma and/or require massive fluid replacement are at increased risk. Critical care nurses are in a unique position to recognize early signs and symptoms of increased intra-abdominal pressure to ensure timely intervention. Aggressive hemodynamic, pulmonary, and operative management is essential for the optimal outcome of patients with ACS. Without definitive treatment, multisystem organ dysfunction and death ultimately ensue.

scholarly journals Delayed Presentation of Traumatic Intraperitoneal Rupture of Urinary Bladder

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Hazim H. Alhamzawi ◽  
Husham M. Abdelrahman ◽  
Khalid M. Abdelrahman ◽  
Ayman El-Menyar ◽  
Hassan Al-Thani ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Young Male ◽  
Rare Condition ◽  
Bladder Rupture ◽  
Bladder Injury ◽  
Blunt Injury ◽  
Delayed Presentation ◽  
Post Injury ◽  
Intraperitoneal Rupture ◽  
Intraperitoneal Bladder Rupture

Blunt injury of the urinary bladder is well known and usually associates pelvic fractures. Isolated bladder injury is a rare condition and on the other hand, delayed bladder perforation is an extremely rare entity. Herein, we described an unusual case of isolated delayed intraperitoneal bladder rupture that occurred on the third post injury day in a young male in the absence of free intraperitoneal fluid and pelvic fracture. The diagnostic workup, course and the need for surgical repair of the injury is presented.

scholarly journals An uncommon case of intraperitoneal urinary bladder rupture in an adult with pelvic bone fracture

2018 ◽  
Vol 5 (3) ◽  
pp. 1133
Author(s):  
Rekha Gupta ◽  
Vivek J.
Keyword(s):  
Urinary Bladder ◽  
Adult Patient ◽  
Bone Fracture ◽  
Bladder Rupture ◽  
Pelvic Bone ◽  
Intraperitoneal Rupture ◽  
Iatrogenic Trauma ◽  
Intraperitoneal Bladder Rupture ◽  
Uncommon Case ◽  
High Degree

Injury of urinary bladder can occur due to blunt, penetrating, or iatrogenic trauma. Here, author present an uncommon case of Intraperitoneal bladder rupture in an adult patient with associated pelvic bone fracture. Following a fall from his house, a 40 years old male patient presented with haematuria and abdominal pain. CT scan of abdomen revealed Intraperitoneal bladder rupture with pelvic bone fracture. Intraoperative findings revealed intraperitoneal rupture of bladder with a defect in dome region. It was repaired with Vicryl 2-0 suture. So, a high degree of suspicion of intraperitoneal bladder rupture should be kept in mind even though it has associated pelvic bone fracture in an adult patient.

Advancing the Use of Laparoscopy in Trauma: Repair of Intraperitoneal Bladder Injuries

2019 ◽  
Vol 85 (12) ◽  
pp. 1402-1404 ◽  
Author(s):  
Michael R. Arnold ◽  
Caroline D. Lu ◽  
Bradley W. Thomas ◽  
Gaurav Sachdev ◽  
Kyle W. Cunningham ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Injury Severity ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Bladder Rupture ◽  
Trauma Patients ◽  
Average Hospital ◽  
Early Return ◽  
Significant Difference ◽  
Intraperitoneal Bladder Rupture

Traumatic intraperitoneal bladder rupture (IBR) requires surgical repair. Traditionally performed via laparotomy, experience with laparoscopic bladder repair (LBR) after blunt trauma is limited. Benefits of laparoscopy include decreased length of stay (LOS), less pain, early return to work, fewer adhesions, and lower risk of incisional hernia. The aim of this series is to demonstrate the potential superiority of LBR in select trauma patients. This is a retrospective review performed of all IBR patients from 2008 to 2016. Demographics, clinical management, outcomes, and follow-up were compared between LBR and open bladder repair (OBR) patients. Twenty patients underwent OBR, and seven underwent LBR. There was no significant difference in gender, age, or Injury Severity Score. There were no deaths or reoperations in either group. Average hospital length of stay and ICU days were similar between groups. There was one patient with UTI and one with readmission in each group. There were two incisional hernias and two bowel obstructions in the OBR group, with one patient requiring operative intervention. No such complications occurred in the LBR group. LBR for traumatic IBR can be safely performed in select patients, even in those with multiple extra-abdominal injuries.

Spontaneous urinary bladder perforation: An unusual presentation of well-differentiated papillary peritoneum mesothelioma

2021 ◽  
pp. 039156032110011
Author(s):  
Armando Serao ◽  
Francesca Ambrosini ◽  
Barbara Cavallone ◽  
Tiziana Borra ◽  
Andrea Di Stasio
Keyword(s):  
Histopathological Examination ◽  
Lateral Wall ◽  
Exploratory Laparotomy ◽  
Bladder Rupture ◽  
Free Fluid ◽  
Case Presentation ◽  
Left Lateral Wall ◽  
Intraperitoneal Bladder Rupture ◽  
History Of ◽  
Well Differentiated

Introduction: Well-differentiated papillary mesothelioma (WDPM) is a very rare neoplasm. Most of WDPM are asymptomatic and are often incidentally detected during surgery. This report describes a case of WDPM of the peritoneum unexpectedly diagnosed in a male with a spontaneous intraperitoneal bladder rupture. Case presentation: A 65-year-old male presented to our Emergency Department in November 2019 with a two-day history of anuria, abdominal pain, distention, and sepsis. The CT scan reported a large amount of extra and intraperitoneal free fluid. The CT cystogram showed bladder perforations on the dome and on the left lateral wall which was repaired through exploratory laparotomy. Intraoperatively, we encountered extensive suppurative peritonitis with large fibrino-purulent exudation. The purulent perivesical peritoneum was dissected and sent for histopathological examination which unexpectedly resulted in WDPM of the peritoneum. Conclusion: Although we can’t affirm with certainty, this case would seem to suggest that WDPM had played a role in patient’s clinical presentation. However, further research is necessary to draw stronger conclusion.

scholarly journals Isolated perforation of fourth part of Duodenum following Blunt Abdominal Trauma

2022 ◽  
Vol 19 (1) ◽  
pp. 106-108
Author(s):  
Prabir Maharjan ◽  
Shiv Vansh Bharti ◽  
Digbijay Bikram Khadka ◽  
Anup Karki ◽  
Arun Gnyawali
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Primary Repair ◽  
Exploratory Laparotomy ◽  
Hollow Viscus ◽  
Case Presentation ◽  
Fourth Part ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Duodenal Injuries

Introduction: Isolated duodenal injuries are rare in blunt abdominal trauma. These present a significant challenge for management because of the associated injuries and its difficult anatomical accessibility. Case presentation: A 20years male presented to the Emergency department following a bike accident sustaining injury over face, chest and abdomen, 6hours after the incident. His vitals were unstable so he was resuscitated and admitted in Intensive Care Unit. He had generalized abdominal tenderness without rigidity. Contrast enhanced computed tomography of abdomen and pelvis was suggestive of hollow viscus perforation. He underwent exploratory laparotomy and primary repair for isolated perforation at fourth part of duodenum. He was discharged on his ninth postoperative day. Conclusion: Rare injuries following blunt abdominal trauma should be considered and early intervention is necessary.

scholarly journals Iliac ecchymosis, a valuable sign for hollow viscus injuries in blunt pelvic trauma patients

2021 ◽  
Author(s):  
Yong-Gang Li ◽  
Zhi-Yong Wang ◽  
Ji-Guang Tian ◽  
Yu-Hang Su ◽  
Xi-Guang Sang
Keyword(s):  
Pelvic Trauma ◽  
Trauma Patients ◽  
Hollow Viscus ◽  
Blunt Pelvic Trauma
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