scholarly journals Sudden Death Due to Spontaneous Rupture of the Urinary Bladder following Acute Alcohol Inebriation- A Case report and Review of Literature

2020 ◽  
Vol 1 (3) ◽  
pp. 1-6
Author(s):  
Bikash Sah ◽  
Shivendra Jha ◽  
Dikshant Pokharel
Keyword(s):  
Urinary Bladder ◽  
Spontaneous Rupture ◽  
Alcohol Intoxication ◽  
Young Male ◽  
Rare Condition ◽  
Pelvic Cavity ◽  
Acute Alcohol Intoxication ◽  
Blood Clots ◽  
High Index Of Suspicion ◽  
External Injury

Spontaneous rupture of the urinary bladder (SRUB) is a rare clinical condition. Prompt diagnosis is often difficult both clinically and radiologically and necessitates a high index of suspicion as the patients present with non-specific abdominal pain and may not offer a clear history. The depressant effect of alcohol further complicates the diagnosis. We report a case of a young male who was unable to seek medical support and was found dead within 12 hours of the onset of abdominal discomfort following acute alcohol intoxication. At autopsy, rupture of the urinary bladder with blood and blood clots was found in the pelvic cavity with no any corresponding external injury. Spontaneous rupture of the urinary bladder is a rare cause of death in acute alcohol intoxication. In order to further understand this rare condition, the review of related literature has been done.

scholarly journals Spontaneous Rupture of Urinary Bladder (SRUB) in a Young Male, Presenting as Anuria – A Case Report and Review of Literature

2014 ◽  
Vol 7 (1) ◽  
pp. 64-66
Author(s):  
Sekar Hariharasudhan ◽  
Sriram Krishnamoorthy ◽  
Sunil Shroff
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Urinary Bladder ◽  
Spontaneous Rupture ◽  
Lower Abdominal Pain ◽  
Young Male ◽  
Bladder Rupture ◽  
Emergency Laparotomy ◽  
High Morbidity ◽  
Delay In Diagnosis

Spontaneous rupture of urinary bladder is a rare condition. Most of the bladder ruptures occur in association with blunt or penetrating injuries to the lower abdomen. Most often, a vague lower abdominal pain is the mode of presentation. Rarely patients present with oliguria, anuria, uremia or urosepsis. A forty year old male, under the influence of alcohol, presented with lower abdominal pain and anuria for two days with abnormal renal function. He denied history of blunt trauma. He was diagnosed to have an intra-peritoneal rupture of urinary bladder. He underwent emergency laparotomy with repair of bladder rupture. This case report illustrates the need for a high index of clinical suspicion. Prompt diagnosis and appropriate management will help in preventing a poor clinical outcome in patients with spontaneous bladder perforation. If left untreated or if there is a considerable delay in diagnosis and intervention, it usually is associated with a high morbidity.

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 880 Rare Benign Chondromyxoid Fibroma of Rib, A Case Report; Is It Really Benign?

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
B Basak ◽  
A Haragan ◽  
M Shackcloth ◽  
J Thekkudan
Keyword(s):  
Benign Tumor ◽  
Young Male ◽  
Rare Condition ◽  
Benign Tumors ◽  
High Recurrence Rate ◽  
Chondromyxoid Fibroma ◽  
Movement Restriction ◽  
Adequate Treatment ◽  
High Index Of Suspicion

Abstract Chondromyxoid Fibroma is a benign chondrogenic lesion accounting for less than one percent of the bone tumor; hence, likely to be misdiagnosed. Its presentation can vary from asymptomatic to pain, swelling, and movement restriction. The typical presentation includes a young male with a lesion commonly around the knee joint. However, we detail here an unusual presentation of this benign tumor in a 61-year male referred with chest pain and swelling. Histopathology can be very helpful in diagnosing this rare condition showing the characteristic patterns. Besides, as the tumor is locally aggressive, it can often be misinterpreted and treated as sarcoma. Moreover, it has a high recurrence rate. These characteristics make this rare tumor standout from the other benign tumors. Therefore, these cases need to be viewed thoroughly with a high index of suspicion pre-diagnosis and ensure adequate treatment and follow-up for successful management.

Spontaneous Rupture of the Urinary Bladder Complicated by Extensive Fascitis: The Importance of a High Index of Suspicion

1994 ◽  
Vol 52 (1) ◽  
pp. 38-40 ◽  
Author(s):  
M. Carmon ◽  
A. Nissan ◽  
I. Pappo ◽  
S. Perlberg ◽  
D. Seror ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Spontaneous Rupture ◽  
High Index ◽  
High Index Of Suspicion

scholarly journals Urachal fistula in a 22 year male: a case report

2020 ◽  
Vol 7 (9) ◽  
pp. 3102
Author(s):  
Vipul Kumar Srivastava ◽  
Shilpi Roy ◽  
Ram Niwas Meena ◽  
Rahul Khanna
Keyword(s):  
Fistulous Tract ◽  
Young Male ◽  
Rare Condition ◽  
Surgical Excision ◽  
Purulent Discharge ◽  
Patent Urachus ◽  
Low Incidence ◽  
High Index Of Suspicion ◽  
Urachal Fistula ◽  
Specific Symptoms

A patent urachus is one of the spectrums of congenital urachal anomalies. It has been termed as "urachal fistula" when the lumen of intra-embryonic portion of allantois persist abnormally.  Persisting urachal fistula is a rare condition mostly diagnosed during childhood or in autopsies. Here we report a very rare case of urachal fistula of a young male. We present a case of 22 years male with intermittent periumbilical pain and sero-purulent discharge from umbilicus since birth. On examination sero-purulent discharging umbilical sinus with granuloma was present. Surgical excision of whole of the urachal fistulous tract was done with repair of bladder. Patient did well during post-operative period. Persisting urachal fistula in adult is rare entity and difficult to diagnose because of low incidence and non-specific symptoms. So a high index of suspicion is required in order to make the early diagnosis of urachal anomalies. 

scholarly journals Adrenal artery pseudoaneurysm in pheochromocytoma presenting with catastrophic retroperitoneal hemorrhage

2013 ◽  
Vol 7 (3-4) ◽  
pp. e254-6 ◽  
Author(s):  
Santosh Kumar ◽  
Bhuvanesh Nanjappa ◽  
Sathish Kumar ◽  
Seema Prasad ◽  
Arawat Pushkarna ◽  
...  
Keyword(s):  
Hemorrhagic Shock ◽  
Spontaneous Rupture ◽  
Clinical Course ◽  
Rare Condition ◽  
Retroperitoneal Hemorrhage ◽  
Artery Pseudoaneurysm ◽  
The Face ◽  
Adrenal Pheochromocytoma ◽  
Suprarenal Mass ◽  
High Index Of Suspicion

Spontaneous rupture of adrenal pheochromocytoma is an extremely rare condition which presents as an abdominal catastrophe.  Unrecognized, this transformation can rapidly lead to death.  We report a case of a 63-year-old gentleman who presented with hemorrhagic shock secondary to ruptured adrenal pheochromocytoma.  The clinical course is notable for immediate trans-arterial catheter embolization (TAE) for control of bleeding, followed by optimization and elective adrenalectomy.  High mortality is associated with an operative intervention in the face of an unrecognized pheochromocytoma.  This reinforces the need for maintaining high index of suspicion in the setting of a suprarenal mass despite hypotension.

scholarly journals Inguinal Herniation of Urinary Bladder

2016 ◽  
Vol 1 (2) ◽  
pp. 66-67
Author(s):  
Siddharth P Dubhashi ◽  
Ratnesh Jenaw
Keyword(s):  
Urinary Tract Infection ◽  
Inguinal Hernia ◽  
Urinary Bladder ◽  
Bladder Wall ◽  
Rare Condition ◽  
Elderly Male ◽  
Direct Inguinal Hernia ◽  
Bladder Hernia ◽  
High Index Of Suspicion ◽  
Inguinal Herniation

ABSTRACT Urinary bladder hernia is evident into 1 to 3% of inguinal hernias. About 7% of bladder hernias are diagnosed preoperatively. The herniation of the bladder occurs in an acquired direct inguinal hernia with the bladder setting into the hernia along with the peritoneal sheath. This is a report of an elderly male with a para-peritoneal vesical hernia. This is a rare condition requiring a high index of suspicion to prevent complications like urinary tract infection, obstruction and incarceration of bladder wall. How to cite this article Dubhashi SP, Jenaw R. Inguinal Herniation of Urinary Bladder. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):66-67.

THE INFLUENCE OF VITAMIN C ON EOSINOPHIL RESPONSE TO ACUTE ALCOHOL INTOXICATION IN RATS

1960 ◽  
Vol XXXV (IV) ◽  
pp. 585-593 ◽  
Author(s):  
T. P. J. Vanha-Perttula
Keyword(s):  
Vitamin C ◽  
Ethyl Alcohol ◽  
Intraperitoneal Injection ◽  
Alcohol Intoxication ◽  
Albino Rats ◽  
Acute Alcohol Intoxication ◽  
Alcohol Administration ◽  
Initial Values

ABSTRACT The effect of ethyl alcohol on the circulating eosinophil cells has been studied in female albino rats. An intoxicating dose of alcohol caused a marked depletion of circulating eosinophils which was most clearly evident four hours after the administration of the alcohol. The initial values were not reached before 24 hours had elapsed. Intraperitoneal injection of vitamin C 12 hours prior to the alcohol administration very effectively prevented this eosinopenic reaction. The mechanism of regulation of the eosinophil cells in the circulation has been discussed in the light of previous results and of those obtained in this study.

Bone marrow necrosis and fat embolism syndrome: a near fatal complication in previously undiagnosed sickle beta + thalassaemia

2021 ◽  
Vol 14 (1) ◽  
pp. e238317
Author(s):  
Nibash Budhathoki ◽  
Sunita Timilsina ◽  
Bebu Ram ◽  
Douglas Marks
Keyword(s):  
Bone Marrow ◽  
Multiorgan Failure ◽  
Rare Condition ◽  
Altered Mental Status ◽  
Fat Embolism ◽  
Bone Marrow Necrosis ◽  
Embolism Syndrome ◽  
Hb S ◽  
High Index Of Suspicion ◽  
Specific Symptoms

Prevalence of haemoglobin sickle-β+ thalassaemia (Hb S/β+thal) is variable with geography ranging from 0.2% to 10% among sickle cell patients. Clinical presentation of Hb S/β+thal patients depends on HbA level, with milder disease often going undiagnosed. However, rarely these patients can present with a fulminant vaso-occlusive crisis (VOC). Given VOC can present with non-specific symptoms, the diagnosis and treatment is often delayed. Here, we present a patient who initially developed altered mental status, pancytopenia and multiorgan failure due a critical VOC resulting in bone marrow necrosis and fat embolism. Subsequent workup confirmed that our patient had Sickle-β+ thalassaemia, which had gone undiagnosed, despite subclinical evidence of haemolysis on routine lab work for years. Following diagnosis and initiation of RBC exchange, he improved significantly and was discharged home. High index of suspicion and bone marrow biopsy is vital for early diagnosis and management of this rare condition.

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