scholarly journals A Rare Case of Recurrent Generalized Peritonitis Caused by Spontaneous Urinary Bladder Rupture after Radiotherapy: A Case Report and Literature Review

Medicines ◽  
2021 ◽  
Vol 8 (11) ◽  
pp. 67
Author(s):  
Yusuke Watanabe ◽  
Shun Yamazaki ◽  
Hanako Yokoyama ◽  
Shunta Yakubo ◽  
Akihiko Osaki ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Literature Review ◽  
Late Complication ◽  
Accurate Diagnosis ◽  
Diagnosis And Treatment ◽  
Bladder Rupture ◽  
Urinary Ascites ◽  
Generalized Peritonitis ◽  
Short Period ◽  
History Of

Since generalized peritonitis is a fatal disease, accurate diagnosis and treatment are important. In this paper, we report a case of recurrent generalized peritonitis associated with spontaneous urinary bladder rupture (SBR). A 65 year old woman, who underwent radiotherapy 21 years prior, was diagnosed with generalized peritonitis. Although the cause of the generalized peritonitis could not be identified, the patient recovered with conservative treatment in short period. However, recurrent episodes of generalized peritonitis occurred four times. We diagnosed the patient with urinary ascites due to SBR, based on a history of radiotherapy and dysuria. No recurrence of generalized peritonitis had occurred after accurate diagnosis and treatment with long-term bladder catheter placement. Since SBR often occurs as a late complication after radiotherapy, it is difficult to diagnose SBR, which leads to delayed treatment. This case and literature review of similar cases suggest that the information of the following might be helpful in the diagnosis of SBR: (i) history of recurrent generalized peritonitis, (ii) pseudo-renal failure, (iii) history of radiotherapy, (iv) dysuria, and (v) increase or decrease of ascites in a short period. It is important to list SBR in the differential diagnosis by knowing the disease and understanding its clinical features. This case and literature review will serve as a reference for future practices.

scholarly journals An Unusual Case of Spontaneous Bladder Perforation with Associated Autodialysis of the Ensuing Urinary Ascites

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
A. Aber ◽  
S. A. Hyder ◽  
V. Arumuham
Keyword(s):  
Risk Factors ◽  
Abdominal Pain ◽  
Urinary Bladder ◽  
Unusual Case ◽  
Bladder Rupture ◽  
Rare Occurrence ◽  
Diagnostic Challenge ◽  
Urinary Ascites ◽  
Factors Associated ◽  
Generalized Peritonitis

Spontaneous rupture of the urinary bladder is a rare occurrence, and when encountered it is a diagnostic challenge. We present an unusual case of urinary bladder rupture in a patient with severe cerebral palsy who initially presented with localized abdominal pain and during admission developed generalized peritonitis caused by bladder rupture. In this case, the patient had none of risk factors associated with urinary bladder.

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.

Role of tympanic neurectomy in otalgia

1990 ◽  
Vol 104 (2) ◽  
pp. 114-117 ◽  
Author(s):  
J. A. Cook ◽  
R. M. Irving
Keyword(s):  
Local Anaesthesia ◽  
Accurate Diagnosis ◽  
Diagnosis And Treatment ◽  
Glossopharyngeal Neuralgia ◽  
Specific Reference ◽  
Selective Stimulation ◽  
History Of ◽  
Stimulation Of

AbstractTympanic neurectomy was first described 44 years ago. Although its indications have subsequently increased, it has not become a popular procedure. This paper concentrates on its use in treating otalgia. The history of tympanic neurectomy, the anatomy of the tympanic plexus and the aetiology of otalgia with specific reference to the tympanic plexus are discussed and a case of bilateral otalgia due to glossopharyngeal neuralgia successfully treated by staged, bilateral tympanic neurectomy reported. It is suggested tympanotomy performed under local anaesthesia with selective stimulation of the intra-tympanic nerves may lead to accurate diagnosis and treatment of the various forms of neuralgic otalgia.

Symptomatic nodular myopathy: an atypical presentation of sarcoidosis

2021 ◽  
Vol 14 (5) ◽  
pp. e241206
Author(s):  
Mostafa Ellatif ◽  
Parthdev Bhasin ◽  
Carlo Urigo ◽  
Ajay Sahu
Keyword(s):  
Soft Tissue ◽  
Literature Review ◽  
Multidisciplinary Approach ◽  
Multimodality Imaging ◽  
Radiology Department ◽  
Atypical Presentation ◽  
Imaging Characteristics ◽  
Short Period ◽  
History Of ◽  
Extrapulmonary Manifestation

Symptomatic myopathy is a very rare extrapulmonary manifestation of sarcoidosis that may not be readily recognised in the absence of a known history of sarcoid. Nodular myopathy is the most uncommon subtype of musclar sarcoidosis and, when encountered, establishing the diagnosis can be challenging. We present a case of symptomatic nodular myopathy as a first presentation of sarcoidosis in a young man who required a multidisciplinary approach to diagnose. The patient presented to our radiology department following a short period of flu-like illness and multiple soft tissue lesions. Biopsy of the lesions demonstrated noncaseating granulomata, and a diagnosis of sarcoidosis was established after important differential diagnoses were excluded. We present a literature review of sarcoid-related myopathy and the multimodality imaging characteristics of the different subtypes.

Emphysematous Cystitis and Pneumoperitoneum in a Dog with Escherichia coli Urinary Tract Infection and Hyperadrenocorticism

2021 ◽  
Author(s):  
Samantha K. Day ◽  
Erin T. Mooney
Keyword(s):  
Escherichia Coli ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Urinary Bladder ◽  
Tract Infection ◽  
Bladder Rupture ◽  
Emphysematous Cystitis ◽  
Abdominal Radiographs ◽  
History Of ◽  
Tract Infections

ABSTRACT A 9 yr old male neutered Staffordshire bull terrier with a history of poorly controlled hyperadrenocorticism, urinary tract infections, and emphysematous cystitis (EC) was presented to a veterinary referral teaching hospital for vomiting. Abdominal radiographs revealed EC and a pneumoperitoneum. The urinary bladder was found to be intact based on ultrasound and a pre- and postiohexol contrast computed tomography study with retrograde contrast cystogram. Urine culture confirmed the presence of a recurrent Escherichia coli urinary tract infection. The patient was managed medically, primarily as an outpatient, and had complete resolution of all problems. This case represents an extremely rare form of EC with pneumoperitoneum, without evidence of concurrent urinary bladder rupture. Only six similar cases have been reported in humans, with no previous cases reported in veterinary medicine. This case demonstrated that surgery is not necessarily indicated in all cases of pneumoperitoneum. The patient remained alive at 2 mo follow-up, with no evidence of recurrence of EC.

scholarly journals Appendiceal Intussusception

2021 ◽  
Vol 10 (1) ◽  
pp. 135-140
Author(s):  
S. S. Maskin ◽  
N. I. Fetisov ◽  
V. V. Matyukhin ◽  
C. Yuan
Keyword(s):  
Literature Review ◽  
Abdominal Surgery ◽  
Rare Diseases ◽  
Diagnostic Errors ◽  
Diagnosis And Treatment ◽  
History Of ◽  
Appendiceal Intussusception

The pathology of the appendix remains one of the topical areas of abdominal surgery. Its rare diseases can be difficult to diagnose and treat, and are accompanied by the development of serious complications. One of them is  intussusception of the appendix to the cecum. Intussusception can be caused by previously undiagnosed primary lesions of the appendix. At the same time, it can simulate tumor and tumor-like formations of the cecum and lead to  diagnostic errors. The literature review provides modern data on the history of the study of the problem, the epidemiology of classification, the causes and mechanisms of the development of appendiceal intussusception, the methods of its diagnosis and treatment. 

scholarly journals Idiopathic urinary bladder rupture in two mares

2020 ◽  
Vol 56 (4) ◽  
pp. e160441
Author(s):  
Ronaldo Avella Lavado ◽  
Luis Claudio Lopes Correia Da Silva ◽  
Aline Magalhães Ambrósio ◽  
Paulo Ari Tietböhl Leiria ◽  
Carla Bargi Belli
Keyword(s):  
Urinary Bladder ◽  
Abdominal Ultrasound ◽  
Predisposing Factors ◽  
The Other ◽  
Urethral Obstruction ◽  
Bladder Rupture ◽  
History Of

Urinary bladder rupture is rarely reported in adult horses and is usually associated with parturition, history of traumaor urethral obstruction. This paper reports two cases in mares free of these predisposing factors, diagnosed throughclinical manifestations, abdominal ultrasound and abdominocentesis, corrected by cystorrhaphy through laparotomy.While recovery was satisfactory in one case, the other case had complications in celiorraphy such as development ofincisional hernia, small colon eventration and intestinal adherences, opting by the euthanasia of the animal. These reportsare important because of the rarity with which they occur in adult mares. The different prognoses may be related to theseverity of each case, according to the location and extension of the wound, which directly or indirectly influence thetechnique and recovery of the animals.

Neonatal urinary ascites secondary to urinary bladder rupture

2009 ◽  
Vol 5 (2) ◽  
pp. 100-104 ◽  
Author(s):  
Nikhil Vasdev ◽  
Malcolm G. Coulthard ◽  
Mike N. De la hunt ◽  
Bosena Starzyk ◽  
Milos Ognjanovic ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Bladder Rupture ◽  
Urinary Ascites

scholarly journals Use of thermal imager in complex diagnosis and treatment of musculoskeletal system diseases: literature review

2020 ◽  
Vol 37 (4) ◽  
pp. 54-61
Author(s):  
M. E. Vinderlikh ◽  
N. B. Schekolova
Keyword(s):  
Literature Review ◽  
Medical Practice ◽  
Musculoskeletal System ◽  
Diagnosis And Treatment ◽  
Thermal Imager ◽  
Short History ◽  
Foreign Literature ◽  
History Of ◽  
Domestic Practice ◽  
Domestic Medical

The experience of using thermal imager in diagnosis and treatment of musculoskeletal system diseases based on review of domestic and foreign literature is presented in the paper. Bibliographical method was applied. A short history of using thermovision in foreign and domestic practice is considered, the problem aspects of the offered technology are accentuated, the use of thermal imager in diagnosis and treatment of musculoskeletal system diseases is analyzed. The possible prospects for development of thermovision in domestic medical practice are determined.

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