Acute abdomen caused by bladder rupture attributable to neurogenic bladder dysfunction following a stroke: a case report

Mitchell, Thomas J.; Al-Hayek, Samih; Patel, Biral; Court, Fiona; Gilbert, Hugh

doi:10.1186/1752-1947-5-254

Cited by 25 publications

(31 citation statements)

References 2 publications

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“…Therefore, usually, there are delays in the diagnosis and treatment. 6,7 The fact that the patient had urine retention and the foley catheter balloon was inflated out of the bladder in USG, prevented the delays in the diagnosis in our case. The first creatinine value was measured as 2.04 mg/dl in our case.…”

Section: Discussionmentioning

confidence: 79%

“…Moreover, the bladder tumor itself, thinning in the wall after the bladder surgery, pelvic radiation therapy, inflammation in the bladder wall and bladder outlet obstruction are accepted as predisposing factors for the bladder rupture by creating damage in the bladder wall. 6,[8][9][10][11][12] It is reported in the literature that catheters made from hard materials such as silicon cause bladder perforation. Since especially the increase in the diameter will increase the hardness of the catheter, this risk is higher in thick catheters.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An Interesting Complication After the Transurethral Bladder Tumor Resection: Inflated Catheter Balloon Out of the Bladder

Demirelli¹,

Özen²,

Karadayi³

et al. 2018

J Reconstr Urol

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

An Interesting Complication After the Transurethral Bladder Tumor Resection: Inflated Catheter Balloon Out of the Bladder

Demirelli¹,

Özen²,

Karadayi³

et al. 2018

J Reconstr Urol

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“…Case reports have highlighted that spontaneous atraumatic bladder rupture can occur also in the context of alcohol intoxication whereby diuresis, the dampening effect of alcohol and the reduction in the urge to micturate can contribute to a sudden rise in intravesical pressure therefore increasing the risk of rupture 2 3. Other risk factors cited include previous pelvic radiotherapy,4 bladder diverticulum5 and a neurogenic bladder 6…”

Section: Discussionmentioning

confidence: 99%

Spontaneous bladder rupture of a urinary bladder with non-muscle invasive bladder cancer

et al. 2014

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SUMMARYWe describe the case of a 65-year-old man who developed spontaneous bladder rupture after picking up his suitcase from a squatting position. He was known to have non-muscle invasive bladder cancer (NMIBC), managed previously with transurethral resections and intravesical chemotherapy. CT scan showed a large amount of free intraperitoneal fluid anterior to the bladder, suggestive of a urinoma. Management was initially conservative, with insertion of urethral catheter, intravenous antibiotics and fluid resuscitation. Follow-up CT scan showed resolution of the urinoma with the patient making a full recovery after 3 weeks. BACKGROUND

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“…This condition is often difficult to diagnose clinically, even with increased timely access to computed tomography (CT) [2]. …”

Section: Introductionmentioning

confidence: 99%

Spontaneous bladder rupture diagnosis based on urinary appearance of mesothelial cells: a case report

et al. 2014

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IntroductionSpontaneous bladder rupture is an extremely rare clinical event that is associated with urinary ascites and apparent acute renal failure. This event is difficult to diagnose clinically, even with advanced techniques such as computed tomography; however, the timely diagnosis of this condition is critical. Here, we report a case of a patient who experienced a spontaneous intraperitoneal bladder rupture 10 years after postoperative pelvic irradiation for the treatment of uterine cancer. In this report of a rare case, we describe the contribution of the appearance of mesothelial cells in the urine to the diagnosis of this condition.Case presentationOur patient was a 71-year-old Asian woman who experienced lower abdominal pain and vomiting of two days duration. On admission, abdominal computed tomography showed intraperitoneal fluid collection and her blood tests revealed acute renal failure and hyperkalemia. She underwent hemodialysis and a transurethral catheter was inserted. The transurethral catheter was removed three days after her admission. Four days after the catheter removal, her symptoms recurred and her serum creatinine and blood urea nitrogen levels were elevated. We noted the presence of mesothelial cells in her urine, which led to a diagnosis of intraperitoneal bladder rupture. She underwent surgical repair of her bladder and hyperbaric oxygen therapy, and was discharged after her renal function returned to normal.ConclusionUrine analysis is a simple and non-invasive test and we believe that a thorough urine analysis may contribute to the early diagnosis of an intraperitoneal bladder rupture. We think that the findings presented in this case report will significantly enhance our understanding of the etiology of bladder rupture. Moreover, these case findings may help nephrologists and urologists to rapidly diagnose this condition.

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Acute abdomen caused by bladder rupture attributable to neurogenic bladder dysfunction following a stroke: a case report

Cited by 25 publications

References 2 publications

An Interesting Complication After the Transurethral Bladder Tumor Resection: Inflated Catheter Balloon Out of the Bladder

An Interesting Complication After the Transurethral Bladder Tumor Resection: Inflated Catheter Balloon Out of the Bladder

Spontaneous bladder rupture of a urinary bladder with non-muscle invasive bladder cancer

Spontaneous bladder rupture diagnosis based on urinary appearance of mesothelial cells: a case report

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