Title: Spontaneous Rupture of the Urinary Bladder - A Case Report and Review of Literature
Authors: Dr Girish D. Bakhshi, Dr Mohammed Siddique J A, Dr Kavita V Jadhav, Dr Rajesh G Chincholkar, Dr Mukund B Tayade, Dr Priyank D Kothari
DOI: http://dx.doi.org/10.18535/jmscr/v4i9.42
Introduction: Spontaneous rupture of the urinary bladder [SRUB] is a rare event. Patients usually present with features of peritonitis and diagnosis is usually made at operation. There are several factors that can predispose patients to an event like this, but most commonly it includes a chronic increase in bladder wall pressure and chronic inflammatory states besides malignancy. Case Report: A 42 years old male came in emergency surgery department with pain in abdomen. Ultrasono-graphy of abdomen was suggestive of peritonitis for which he underwent exploratory laparotomy and was found to have perforation of urinary bladder which was repaired. Patient recovered uneventfully. Conclusion: Rupture of urinary bladder must be included in the differential diagnosis of acute abdomen presenting with peritonitis. A high index of suspicion is essential in the presence of urinary symptoms. In the majority of cases, underlying bladder pathology has been identified, although idiopathic SRUB may occur. 1. Mitchell T, Al-Hayek S, Patel B, Court F, Gilbert H. Acute abdomen caused by bladder rupture attributable to neurogenic bladder dysfunction following a stroke: a case report. J Med Case Rep.2011;5: 254. 2. Huffman JL: Atraumatic perforation of bladder. Necessary differential in evaluation of acute condition of abdomen. Urology. 1983, 22: 30. 3. Sisk IR, Wear JB. Spontaneous rupture of the urinary bladder. J Urol. 1929;21:517–21. 4. Glashan RW: Perforation as a complication of carcinoma of the bladder. Br J Urol. 1967, 39: 178. 5. Budd JS: Spontaneous intraperitoneal rupture of the bladder in association with transitional cell carcinoma. Postgrad Med J. 1988, 64: 165-166. 10.1136/pgmj. 64. 748.165-6. 6. Schein M, Weinstein S, Rosen A, Decker GAG. Spontaneous rupture of the urinary bladder delayed sequel of pelvic irradiation a case report. S Afr Med J. 1986;70:841–842. 7. Atalay AC, Karaman MI: Spontaneous rupture of a bladder with invasive bladder carcinoma. Int Urol Nephrol. 1998, 30: 723. 8. Wujanto R, Brough R, O'Reilly PH: Spontaneous perforation of squamous cell bladder carcinoma associated with hypercalcaemia. Br J Urol. 1989, 63: 647. 9. Zonca P, Cambal M, Jacobi CA. Laparoscopic management of spontaneous intraperitoneal perforation of urinary bladder. Bratisl Lek Listy. 2011;112:282e 286. Abstract
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