Urinary bladder rupture in the differential diagnosis of acute abdomen: two case reports

2011 ◽  
Vol 27 (4) ◽  
pp. 231 ◽  
Author(s):  
Bulent Koca ◽  
Bekir Kuru
Keyword(s):  
Differential Diagnosis ◽  
Urinary Bladder ◽  
Acute Abdomen ◽  
Case Reports ◽  
Bladder 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 Spontaneous rupture of bladder diverticulum: a case report of non-traumatic extraperitoneal urinary bladder rupture managed with surgical intervention

2021 ◽  
Vol 8 (11) ◽  
pp. 3437
Author(s):  
Lim Shiau Ping
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Urinary Bladder ◽  
Acute Abdomen ◽  
Operative Time ◽  
Surgical Intervention ◽  
Bladder Rupture ◽  
Bladder Diverticulum ◽  
Gross Hematuria ◽  
Prompt Diagnosis

Spontaneous extraperitoneal bladder rupture is a rare urology emergency. Most of the extraperitoneal urinary bladder rupture cases were management conservatively. To my best knowledge, there was very few reported about outcome of surgical management for spontaneous extraperitoneal urinary bladder rupture. Herein we shared our experience treating a 84 year old male who first presented with gross hematuria and frequent clots retention. Later he developed septic shock and peritonism which prompted us to do an urgent CT and found out the cause of his acute abdomen. The dilemma we faced to go in for operation was explained and patient had a turbulent post-operative time and he eventually succumbed to death due to various factors. Spontaneous extraperitoneal urinary bladder rupture is a rare cause of acute abdomen and prompt diagnosis and management can produce best clinical outcome.

scholarly journals Urinary bladder rupture secondary to indwelling catheterisation: two case reports

2020 ◽  
Vol 14 (2) ◽  
pp. 96-99
Author(s):  
ACH Tam ◽  
BSH Ho ◽  
SKK Yuen ◽  
CF Tsang ◽  
TCT Lai ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Case Reports ◽  
Bladder Rupture

Malignant tumours as a rare cause of recurrent thrombophlebitis of the great saphenous vein

Phlebologie ◽  
2008 ◽  
Vol 37 (06) ◽  
pp. 297-300
Author(s):  
N. König ◽  
H. J. Stark ◽  
P.-M. Baier
Keyword(s):  
Differential Diagnosis ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Case Reports ◽  
Malignant Tumours ◽  
Nerve Sheath Tumour ◽  
Below The Knee ◽  
Nerve Sheath ◽  
Unfavourable Prognosis ◽  
Peripheral Nerve Sheath Tumour

SummaryWe present two case reports concerning patients who had to undergone surgical treatment according tp the diagnosis of thrombophlebitis with insufficiency of the greater saphenous vein and putative encapsulated haematoma in the lower left leg area. During the operation we found tumours with urgent suspicion of malignancy. The histological examination revealed the diagnosis of mesenchymal chondrosarcoma and malignant peripheral nerve sheath tumour which are extremely malignant, but very rare neoplasmas with unfavourable prognosis. Conclusion: Since both types of tumours are often located below the knee, phlebotomists and vascular surgeons should take them into account as differential diagnosis.

Differential diagnosis of elevated liver enzymes: case reports

2008 ◽  
Vol 46 (05) ◽  
Author(s):  
T Korom ◽  
I Nagy ◽  
É Csajbók ◽  
T Wittmann
Keyword(s):  
Differential Diagnosis ◽  
Liver Enzymes ◽  
Case Reports ◽  
Elevated Liver Enzymes

Urinary bladder rupture diagnosed by Doppler color flow imaging

Choonpa Igaku ◽  
2010 ◽  
Vol 37 (3) ◽  
pp. 333-335
Author(s):  
Yoshizo ITOH ◽  
Hidefumi TANIGUCHI ◽  
Masakatsu OISHI ◽  
Eiji HIROTA ◽  
Satoshi HIRAKAWA ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Bladder Rupture ◽  
Flow Imaging ◽  
Color Flow ◽  
Color Flow Imaging ◽  
Doppler Color ◽  
Doppler Color Flow Imaging

scholarly journals Ovarian vein thrombosis after coronavirus disease (COVID-19) mimicking acute abdomen: two case reports

2021 ◽  
Author(s):  
Merzouk Fatimazahra ◽  
Mahassine El Harras ◽  
Ilham Bensahi ◽  
Meriem Kassimi ◽  
Sara Oualim ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Case Reports ◽  
Ovarian Vein ◽  
Vein Thrombosis ◽  
Ovarian Vein Thrombosis

scholarly journals Delayed diagnosis of atraumatic urinary bladder rupture

2021 ◽  
pp. 101723
Author(s):  
Tamir Sholklapper ◽  
Sherif Elmahdy
Keyword(s):  
Urinary Bladder ◽  
Delayed Diagnosis ◽  
Bladder Rupture
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