scholarly journals Imperforate Hymen: A Rare Cause of Abdominopelvic Mass in an Infant

2021 ◽  
Vol 19 (1) ◽  
pp. 201-202
Author(s):  
Baburam Dixit Thapa ◽  
Mohan Chandra Regmi
Keyword(s):  
Urinary Bladder ◽  
Spontaneous Rupture ◽  
Cystic Lesion ◽  
Imaging Study ◽  
Abdominal Distension ◽  
Spontaneous Resolution ◽  
Loose Stool ◽  
Pelvic Ultrasound ◽  
Imperforate Hymen ◽  
Epigastric Region

Symptomatic imperforate hymen is very rare in infants. Here we report a neonate who presented with imperforate hymen with abdominal distension, fever and loose stool. Imaging study showed large thick walled cystic lesion extending from pelvis to abdomen upto epigastric region with bilateral mild hydroureteronephrosis and lower part in between urinary bladder and rectum suggesting hydrometrocolpos. There was spontaneous rupture leading to flow of collection. It leads to spontaneous resolution of the mass which was confirmed with pelvic ultrasound and computed tomography.Keywords: Hydrometrocolpos; hydroureteronephrosis; imperforate hymen

Spontaneous rupture of the urinary bladder (SRUB): Recovery from cardiopulmonary arrest

2017 ◽  
Vol 35 (10) ◽  
pp. 1584.e5-1584.e7
Author(s):  
Kohei Taniguchi ◽  
Ryo Iida ◽  
Koshi Ota ◽  
Masahiko Nitta ◽  
Takuya Tsujino ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Spontaneous Rupture ◽  
Cardiopulmonary Arrest

Low incidence of surgical pathology in infants with bilious vomiting

2021 ◽  
Author(s):  
David Andrew Cummins ◽  
Carl Kuschel
Keyword(s):  
Imaging Study ◽  
Hirschsprung Disease ◽  
Abdominal Distension ◽  
Surgical Pathology ◽  
Term Infants ◽  
Term Neonates ◽  
Bilious Vomiting ◽  
Highly Sensitive ◽  
Abdominal Radiographs ◽  
Low Incidence

Abstract Background: Bilious vomiting in the neonate is an important presenting sign of intestinal obstruction. We conducted a review of the presentation and management of term neonates admitted with bilious vomiting (BV) to determine the incidence of a surgical pathology in our population.  Design: Retrospective cohort study using a prospectively maintained database.  Participants: All term infants admitted to NICU with BV at the Royal Women’s Hospital Melbourne during a 5-calendar year period.  Results: All 153 babies had at least one imaging study. 128 (83.7%) had plain abdominal radiographs. 127 (83%) underwent upper gastrointestinal contrast scan (UGI) and 103 (67.3%) had both. 6 (3.9%) UGI studies were abnormal, with 3 babies (1.9%) subsequently having surgical pathology (2 volvulus, 1 Hirschsprung disease). Only 6 (3.9%) babies in our cohort had a surgical pathology identified (4 Hirschsprung disease, 2 malrotation). Babies with surgical pathology were more likely to present later (median 40 hours versus 23 hours). Abdominal distension was highly sensitive for surgical pathology.  Conclusion: The incidence of surgical pathology in this cohort was low compared to other studies. It is more likely in infants presenting with BV after 24 hours. 

POS-02.140: Spontaneous rupture of the urinary bladder as a cause of death

Urology ◽  
2007 ◽  
Vol 70 (3) ◽  
pp. 271-272
Author(s):  
K. Albrecht ◽  
M. Tsokos ◽  
F. Schulz ◽  
S. Ückert ◽  
D. Breitmeier ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Cause Of Death ◽  
Spontaneous Rupture

Spontaneous Rupture of the Urinary Bladder

1929 ◽  
Vol 21 (4) ◽  
pp. 517-522 ◽  
Author(s):  
Ira R. Sisk ◽  
John B. Wear
Keyword(s):  
Urinary Bladder ◽  
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 Multiple cystic lesions in the abdominopelvic cavity one and a half years after resection of presacral neurogenic tumor: tumor recurrence or other?

2020 ◽  
Vol 7 (12) ◽  
pp. 4180
Author(s):  
Umar Zeb Khan ◽  
Matiullah Masroor ◽  
Hai Liu
Keyword(s):  
Spontaneous Rupture ◽  
Tumor Recurrence ◽  
Tumor Resection ◽  
Abdominal Distension ◽  
Neurogenic Tumor ◽  
Ct Scans ◽  
Cystic Degeneration ◽  
Cystic Lesions ◽  
Local Hospital ◽  
Neurogenic Tumors

Cystic lesions of abdominopelvic cavity include a variety of pathologies and diagnosis can sometimes be challenging. Urinoma can be caused by iatrogenic injury, spontaneous rupture of ureters or by various causes of ureteral obstruction. It needs to be differentiated from abdominopelvic cystic diseases including tumors that can undergo cystic degeneration. Here we report a case of a 41 years old female underwent a presacral neurogenic tumor resection at a local hospital 5 years ago. The tumor recurred three and a half years after the first surgery and removed at another hospital. She experienced abdominal distension and difficulty in urination from the last 2 months and was diagnosed as having a recurrence of tumor once again at both hospitals on separate CT scans. They believed that the tumor was too large and encroaching on adjacent organs to be surgically resected, she was finally diagnosed as infected urinoma during surgery in our hospital. Even though spontaneous rupture of ureters and urinoma formation is a rare disease but it should be considered as a main differential diagnosis of recurrence of neurogenic tumors especially in post abdominopelvic surgeries patient.

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 Spontaneous Rupture of an Ovarian Dermoid Cyst Associated with Intra- Abdominal Chemical Peritonitis: Characteristic CT Findings

2019 ◽  
Vol 9 (2) ◽  
pp. 52-54
Author(s):  
Sapana Koirala ◽  
Kapil Adhikari ◽  
Sujan Khadka
Keyword(s):  
Spontaneous Rupture ◽  
Rare Complication ◽  
Cystic Teratoma ◽  
Abdominal Distension ◽  
Abdominal Ct ◽  
Pain Abdomen ◽  
Contrast Enhanced ◽  
Abdominal Ct Scan ◽  
Chemical Peritonitis ◽  
Ovarian Dermoid Cyst

Spontaneous rupture of mature cystic teratoma is a rare complication which results in leakage of the liquefied sebaceous contents into the peritoneum leading to acute or chronic peritonitis. We report a case of a 23-year-old female who presented with pain abdomen, abdominal distension and fever. Contrast enhanced abdominal CT scan showed right adnexal complex cystic lesion with discontinuity in its wall along with features of peritonitis.

Spontaneous Rupture of Ovarian Teratoid Tumor (Dermoid Cyst) into the Urinary Bladder

1955 ◽  
Vol 6 (6) ◽  
pp. 668-670 ◽  
Author(s):  
Leon M. Tancer ◽  
A. Orron ◽  
J. D. Baker ◽  
M. E. Greenberger
Keyword(s):  
Urinary Bladder ◽  
Dermoid Cyst ◽  
Spontaneous Rupture
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