Acute extraperitoneal spontaneous bladder rupture in cervical cancer patient undergoing chemoradiation: A case report and review of the literature

Welp, Annalyn; Fields, Emma C.; Randall, Leslie M.; Brown, Florence K.; Sullivan, Stephanie

doi:10.1016/j.gore.2020.100656

Cited by 5 publications

(5 citation statements)

References 8 publications

(19 reference statements)

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“…Once exclusion criteria were applied to the abstracts, 352 studies remained for full‐text review. After again applying the exclusion criteria to the full texts, a total of 278 manuscripts remained and were included in the final review […”

Section: Resultsmentioning

confidence: 99%

Spontaneous (idiopathic) rupture of the urinary bladder: a systematic review of case series and reports

et al. 2023

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Objectives To perform a systematic review of all cases of spontaneous rupture of the urinary bladder (SRUB) and to describe the demographic data, associated comorbidities, clinical presentation, diagnosis, relevant laboratory findings, associated factors, management, morbidity and mortality associated with the presentation of SRUB. Methods The study protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO). A search was carried out across the following electronic databases: PubMed, Web of Science, Scopus, Google Scholar and the Cochrane Database of Systematic Reviews. Full texts of selected studies were analysed, and data extracted. The review was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA). Results A total of 278 articles comprising 240 case reports and 38 case series, with a total of 351 patients were included. The median (interquartile range [IQR]) age of all included patients was 47.5 (33–65) years. The median (IQR) time to presentation was 48 (24–96) h, with the major presenting symptom being abdominal pain (76%). In patients in whom the diagnosis was made prior to any intervention, the condition was misdiagnosed in 64% of cases. The diagnosis was confirmed during explorative open surgery in 42% of cases. Pelvic radiation (13%) and alcohol intoxication (11%) were the most common associated factors. Intraperitoneal rupture (89%) was much more common, with the dome of the bladder being most frequently involved (55%). The overall mortality was 15%. Conclusion This review identified a number of key factors that appear to be associated with an increased incidence of SRUB. It also emphasized the high rate of misdiagnosis and challenge in confirming the diagnosis. Overall, it highlighted the importance of the need for increased awareness and maintaining a high index of suspicion for this condition.

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Section: Resultsmentioning

confidence: 99%

Spontaneous (idiopathic) rupture of the urinary bladder: a systematic review of case series and reports

et al. 2023

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“…The diagnostic methods for SBR are cystography or cystoscopy, and confirming the presence of a fistula is most useful [25][26][27][28][29][30][31]. CT can demonstrate the findings of SBR in the presence of contrast medium in the abdominal cavity after intravenous contrast medium injection [32] and abnormalities of the bladder wall on CT [33].…”

Section: Discussionmentioning

confidence: 99%

“…A literature search using the terms "spontaneous urinary bladder rupture", "radiotherapy", and "peritonitis" in PubMed showed that only 25 cases (including this case) of generalized peritonitis, caused by SBR after radiotherapy, have been reported, and the available information is summarized in Table 1 [25][26][27][28][29][30][31][32]35,36,[45][46][47][48][49][50][51][52][53][54][55][56]. Previously reported patients included 5 men and 20 women, ranging from 27 to 82 years (median: 64 years) (3 cases unknown).…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2021

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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.

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“…Risk factors known to cause SBR include inflammation, infection, pelvic irradiation, bladder tumor, and urinary retention [2] . However, as shown in Table 1 , a literature search using the terms “spontaneous bladder rupture” and “cervical cancer” in PubMed identified only 10 English articles describing a total of 15 cases of SBR in women with a history of cervical cancer [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] . Out of them, 14 cases were complications of pelvic radiotherapy.…”

Section: Introductionmentioning

confidence: 99%

“… (2012) 44 IB RT followed by Hysterectomy 5 years Abdominal pain Bacterial peritonitis Antibiotics NA Intraperitoneal RT Neurogenic bladder Bladder repair No recurrence Shin JY, et al [9] . (2014) 55 NA Hysterectomy + Adjuvant RT 13 years Abdominal pain Distension Oliguria Acute abdomen Renal failure Hemodialysis Nephrostomy 14 days Intraperitoneal RT-induced urethral stricture Bladder repair No recurrence Welp A, e al [10] . (2020) 27 IIIC1(FIGO2018) Definitive RT 0 days (Last day of RT) Abdominal pain Nausea/Vomiting SBR Indwelling catheter 0 day Extraperitoneal RT Indwelling catheter (10 weeks) No recurrence Iwasaki H, et al [11] .…”

Section: Introductionmentioning

confidence: 99%

Spontaneous bladder rupture attributable to a radical hysterectomy-associated neurogenic bladder in patients with cervical cancer: A case report and literature review

Hayashida¹,

Mabuchi²,

Kawamura³

et al. 2023

International Journal of Surgery Case Reports

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Acute extraperitoneal spontaneous bladder rupture in cervical cancer patient undergoing chemoradiation: A case report and review of the literature

Cited by 5 publications

References 8 publications

Spontaneous (idiopathic) rupture of the urinary bladder: a systematic review of case series and reports

Spontaneous (idiopathic) rupture of the urinary bladder: a systematic review of case series and reports

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

Spontaneous bladder rupture attributable to a radical hysterectomy-associated neurogenic bladder in patients with cervical cancer: A case report and literature review

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