scholarly journals Urinothorax: A rare complication of spontaneous bladder rupture

2019 ◽  
Vol 6 (4) ◽  
pp. 16
Author(s):  
Cyrus Veryl Edelson ◽  
Scott Francis David Edelson ◽  
Jerome Craig Edelson ◽  
Guy S. Dooley
Keyword(s):  
Pleural Effusion ◽  
Alcohol Consumption ◽  
Adult Patient ◽  
Pleural Cavity ◽  
Rare Complication ◽  
Bladder Wall ◽  
Rare Condition ◽  
Autoimmune Disorders ◽  
Bladder Rupture ◽  
Spontaneous Bladder Rupture

Urinothorax (UT) is an uncommon cause of pleural effusion where urine collects in the pleural cavity that is usually caused by trauma or urinary obstruction. Spontaneous bladder rupture is another rare condition that is commonly caused by underlying bladder wall pathology and exacerbated by binge alcohol consumption, malignancy, autoimmune disorders, radiation, and obstructive or neurogenic pathology. We present a case of urinothorax caused by spontaneous bladder rupture in an adult patient successfully recognized and treated.

scholarly journals Spontaneous Bladder Rupture after Normal Vaginal Delivery: Description of a Rare Complication and Systematic Review of the Literature

Diagnostics ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. 1885
Author(s):  
Guglielmo Stabile ◽  
Francesco Cracco ◽  
Davide De Santo ◽  
Giulia Zinicola ◽  
Federico Romano ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Vaginal Delivery ◽  
Rare Complication ◽  
Diagnostic Methods ◽  
Pelvic Surgery ◽  
Bladder Rupture ◽  
Normal Vaginal Delivery ◽  
X Rays ◽  
Spontaneous Bladder Rupture ◽  
Rupture Of The Bladder

Objective: To identify the possible causes of spontaneous bladder rupture after normal vaginal delivery and to propose a diagnostic and therapeutic algorithm. Material and Methods: MEDLINE (PubMed), Web of Science and Scopus databases were searched up to August 2020. Manuscripts considered were published from 1990 and only English articles were included. The research strategy adopted included the following terms: (bladder rupture) AND (spontaneous) AND (delivery). 103 studies were identified. Duplicates were found through an independent manual screening. Subsequently, two authors independently screened the full text of articles and excluded those not pertinent to the topic. Discrepancies were resolved by consensus. Finally, thirteen studies were included. Results: PRISMA guidelines were followed. For each study, fetal weight, catheterization during labor, parity, maternal age, occurrence time, previous abdominal or pelvic surgery, symptoms complained of, diagnostic methods, and treatment were considered. Median age was 26.0 (range 20–34 years); median presentation time was 3.0 days after delivery (range 1–20 days); and median newborn weight was 3227.0 g (range 2685–3600 g). Catheterization during labor was reported only in four of the thirteen cases (30.8%) identified. The symptoms most frequently complained of were abdominal pain and distension, fever, oliguria, haematuria and vomiting. Instrumental diagnosis was performed using X-rays in five cases and computerized tomography in six cases. Ultrasound was chosen in five cases as a first diagnostic tool. In two cases, cystography was performed. Treatment was always laparotomic repair of the visceral defect. Conclusion: Abdominal pain, increased creatinine and other signs of kidney failure on blood tests should lead to suspicion of this complication. Cystourethrography is regarded as a procedure of choice, but a first ultrasound approach is recommended. The main factor for the therapeutic choice is the intraperitoneal or extraperitoneal rupture of the bladder. Classical management for intraperitoneal rupture of the bladder is surgical repair and urinary rest.

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 bladder diverticulum rupture due to a squamous cell carcinoma of the bladder: a case report

2020 ◽  
Vol 2020 (11) ◽  
Author(s):  
Wajih Sahnoun ◽  
Sami Ben Rhouma ◽  
Aziz Kacem ◽  
Khaireddine Mrad Dali ◽  
Issam Rekik ◽  
...  
Keyword(s):  
Squamous Cell ◽  
Radical Surgery ◽  
Rare Condition ◽  
Bladder Rupture ◽  
Spontaneous Bladder Rupture ◽  
Acute Peritonitis ◽  
Carcinoma Of The Bladder ◽  
Adequate Surgery ◽  
Time Diagnosis ◽  
External Injury

Abstract While bladder rupture is most of the time secondary to external injury such as trauma or iatrogenic events, spontaneous bladder rupture (SBR) is a rare condition which is mostly associated with bladder cancer, neurologic bladder or radiotherapy. We report a case of a 63-year-old patient with an invasive squamous cell bladder carcinoma who presented acute peritonitis caused by a SBR while being prepared for radical surgery. CT-scan helped to confirm diagnosis and emergency cystectomy was performed. SBR should be considered in differential diagnosis of peritonitis. On time diagnosis and adequate surgery could improve its prognosis.

scholarly journals Postpartum spontaneous bladder rupture

2019 ◽  
Vol 8 (9) ◽  
pp. 3794
Author(s):  
Vijay Zutshi ◽  
Sana Tiwari ◽  
Renu Arora
Keyword(s):  
Early Diagnosis ◽  
Vaginal Delivery ◽  
Kidney Function ◽  
Rare Complication ◽  
The Other ◽  
Abdominal Distention ◽  
Bladder Rupture ◽  
Normal Vaginal Delivery ◽  
Spontaneous Bladder Rupture ◽  
Function Test

Spontaneous bladder rupture after normal vaginal delivery is a rare complication. Patients may present with abdominal distention, fever, haematuria, oliguria and deranged KFT (kidney function test). We are reporting two cases of primigravida with postpartum bladder rupture, one case was diagnosed at laparotomy and the other preoperatively. A patient who presents with retention of urine, haematuria ascites and deranged KFT after uneventful normal vaginal delivery, spontaneous bladder rupture should be suspected. Early diagnosis and management can decrease the morbidity.  

scholarly journals Pancreaticopleural Fistula: Revisited

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Norman Oneil Machado
Keyword(s):  
Pleural Effusion ◽  
Pleural Cavity ◽  
Rare Complication ◽  
Operative Therapy ◽  
Clinical Suspicion ◽  
Endoscopic Retrograde ◽  
Endoscopic Retrograde Cholangiopancreaticography ◽  
Acute And Chronic Pancreatitis ◽  
Optimal Treatment Strategy ◽  
Present View

Pancreaticopleural fistula is a rare complication of acute and chronic pancreatitis. This usually presents with chest symptoms due to pleural effusion, pleural pseudocyst, or mediastinal pseudocyst. Diagnosis requires a high index of clinical suspicion in patients who develop alcohol-induced pancreatitis and present with pleural effusion which is recurrent or persistent. Analysis of pleural fluid for raised amylase will confirm the diagnosis and investigations like CT. Endoscopic retrograde cholangiopancreaticography (ECRP) or magnetic resonance cholangiopancreaticography (MRCP) may establish the fistulous communication between the pancreas and pleural cavity. The optimal treatment strategy has traditionally been medical management with exocrine suppression with octreotide and ERCP stenting of the fistulous pancreatic duct. Operative therapy considered in the event patient fails to respond to conservative management. There is, however, a lack of clarity regarding the management, and the literature is reviewed here to assess the present view on its pathogenesis, investigations, and management.

scholarly journals Bilateral Chylothorax Following Total Thyroidectomy with Neck Dissection for Papillary Thyroid Cancer

2021 ◽  
Author(s):  
Musallam Kashoob ◽  
Saleh Bawain ◽  
Yahya Al Badaai
Keyword(s):  
Thyroid Cancer ◽  
Pleural Effusion ◽  
Total Thyroidectomy ◽  
Neck Dissection ◽  
Rare Complication ◽  
Rare Condition ◽  
Neck Surgery ◽  
University Hospital ◽  
Bilateral Pleural Effusion ◽  
Bilateral Chylothorax

Bilateral chylothorax is a rare entity that occurs after a thyroidectomy and neck dissection. This rare condition can lead to severe morbidity, and potentially death, if not managed properly. We report a rare complication of neck surgery and subsequent bilateral pleural effusion, regarding a 35-year-old female who presented at Sultan Qaboos University Hospital in 2018 with shortness of breath and respiratory distress. Particularly, the bilateral pleural effusion and related symptoms occurred one week after a total thyroidectomy with central and left lateral neck dissection. Intraoperative findings, management and literature review will be discussed. Keywords: chylothorax, thyroid cancer, papillary, thyroidectomy, neck dissection, Case report; Oman.

scholarly journals Empyema Necessitans Complicating Pleural Effusion Associated withProteusSpecies Infection: A Diagnostic Dilemma

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
M. S. Yauba ◽  
H. Ahmed ◽  
I. A. Imoudu ◽  
M. O. Yusuf ◽  
H. U. Makarfi
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Pleural Effusion ◽  
Soft Tissues ◽  
Rare Complication ◽  
Rare Condition ◽  
Resource Poor Setting ◽  
Nutritional Rehabilitation ◽  
Diagnostic Dilemma ◽  
Gram Negative ◽  
Common Causes

Background. Empyema necessitans, a rare complication of pleural effusion, could result in significant morbidity and mortality in children. It is characterized by the dissection of pus through the soft tissues and the skin of the chest wall.Mycobacterium tuberculosisandActinomyces israeliiare common causes but Gram negative bacilli could be a rare cause. However, there were challenges in differentiating betweenMycobacterium tuberculosisand nontuberculous empyema in a resource poor setting like ours. We report a child with pleural effusion and empyema necessitans secondary toProteusspp. infection.Methods. We describe a 12-year-old child with empyema necessitans complicating pleural effusion and highlight management challenges.Results. This case was treated with quinolones, antituberculous drugs, chest tube drainage, and nutritional rehabilitation.Conclusion. Empyema necessitatis is a rare condition that can be caused by Gram negative bacterial pathogens likeProteusspecies.

Intraorbital Abscess: A Rare Cause of Orbit Compression

FACE ◽  
2021 ◽  
pp. 273250162110050
Author(s):  
Samuel Ruiz ◽  
Rizal Lim
Keyword(s):  
Pediatric Population ◽  
Rare Complication ◽  
Disease Process ◽  
Rare Condition ◽  
External Drainage ◽  
Direct Extension ◽  
Life Threatening ◽  
History Of ◽  
High Index Of Suspicion ◽  
Prompt Diagnosis

Introduction: Intraorbital abscess is a rare complication of rhinosinusitis that affects most commonly the pediatric population. It is thought to be caused by direct extension or venous spread of infections from contiguous sites and can lead to life-threatening complications, like permanent visual loss and cerebral abscesses. Objectives: Intraorbital abscess is a rare condition that requires prompt diagnosis and treatment to avoid serious complications. Our objectives are to provide an overview of this rare disease process and its management including our successful treatment experience. Case Description: We present a 2 case report of a 13-year-old pediatric male and a 66-year-old male with history of chronic sinusitis who presented with a right intraorbital abscess successfully treated with external drainage with decompression of the orbit. Conclusion: When intraorbital abscess is encountered, a high index of suspicion is needed to allow prompt and accurate diagnosis for this infrequent condition. Timely surgical drainage of the abscess is needed to prevent the development of fatal complications.

scholarly journals Refractory pleural effusion as a rare complication of pulmonary vascular stenosis induced by fibrosing mediastinitis: a case report and literature review

2021 ◽  
Vol 49 (5) ◽  
pp. 030006052110100
Author(s):  
Suqiao Yang ◽  
Jianfeng Wang ◽  
Jifeng Li ◽  
Kewu Huang ◽  
Yuanhua Yang
Keyword(s):  
Pleural Effusion ◽  
Rare Complication ◽  
Clinical Manifestations ◽  
Pulmonary Vein Stenosis ◽  
Pulmonary Artery Stenosis ◽  
Heart Catheterization ◽  
Tissue Mass ◽  
Fibrosing Mediastinitis ◽  
Extrinsic Compression ◽  
Left Pleural Effusion

Fibrosing mediastinitis (FM) is a progressive, life-threatening disease characterized by extrinsic compression of mediastinal bronchovascular structures, and the clinical manifestations largely depend upon the affected structures. Pleural effusion is rarely reported in patients with FM. We herein describe a 70-year-old man who presented with recurrent breathlessness and refractory left pleural effusion. He was misdiagnosed with and treated for tuberculous pleurisy for several months. Thoracentesis revealed a transudative pleural effusion, and a contrast-enhanced computed tomography scan of the thorax showed an extensive mediastinal soft tissue mass consistent with FM. Pulmonary angiography demonstrated pulmonary artery stenosis on the right side and pulmonary vein stenosis mainly on the left side. After measurement of the pulmonary arterial pressure by right heart catheterization, the patient was diagnosed with pulmonary hypertension associated with FM. He underwent balloon angioplasty and stent implantation of the stenosed pulmonary vessels, which led to long-term improvement in his breathlessness and pleural effusion. Our systematic review of the literature highlights that pleural effusion can be an uncommon complication of FM and requires careful etiological differentiation.

Enoxaparin-induced Wunderlich syndrome in a young patient with anti-GAD 65-associated opsoclonus and limbic encephalitis: a rare complication in a rare disease

2021 ◽  
Vol 14 (10) ◽  
pp. e244916
Author(s):  
Saranya B Gomathy ◽  
Animesh Das ◽  
Awadh Kishor Pandit ◽  
Achal Kumar Srivastava
Keyword(s):  
Rare Disease ◽  
Young Patient ◽  
Clinical Condition ◽  
Limbic Encephalitis ◽  
Rare Complication ◽  
Clinical Manifestations ◽  
Autoimmune Encephalitis ◽  
Rare Condition ◽  
Gad 65 ◽  
Good Improvement

Wunderlich syndrome is a rare condition characterised by acute spontaneous non-traumatic renal haemorrhage into the subcapsular and perirenal spaces. Our case of anti-GAD65-associated autoimmune encephalitis (AE), aged 30 years, developed this complication following use of enoxaparin and was managed by selective glue embolisation of subsegmental branches of right renal cortical arteries. Our case had opsoclonus as one of the clinical manifestations, which has till now been described in only two patients of this AE. This patient received all forms of induction therapies (steroids, plasmapheresis, intravenous immunoglobulin and rituximab) following which she had good improvement in her clinical condition. The good response to immunotherapy is also a point of discussion as this has been rarely associated with anti-GAD65 AE.

Sign in / Sign up

Export Citation Format

Share Document