An Unusual Case of Spontaneous Bladder Perforation with Associated Autodialysis of the Ensuing Urinary Ascites

Aber, Ahmed; Hyder, Syed; Arumuham, Vimoshan

doi:10.1155/2011/145084

Cited by 16 publications

(21 citation statements)

References 12 publications

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“…The most common cause of urinary bladder perforation is damage to the urinary bladder wall during massive abdominal trauma or iatrogenic, endoscopic excision of bladder tumours or bladder stones, during gynaecological and general surgical interventions. Other less common risk factors include bladder malignancy,2 diverticulum,4 cystitis,3 5 6 pelvic irradiation,7 diabetes mellitus,8 neuropathic bladder,9 alcohol excess,10 postpartum11 and chronic urinary outflow obstruction 12. Those cases that cannot be attributed to one of these are considered idiopathic, such as the patient reported here.…”

Section: Discussionmentioning

confidence: 80%

Spontaneous rupture of the bladder during vomiting

et al. 2017

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A 46-year-old woman with no urological history or comorbidities presented with an acute abdomen with haematuria after a spell of protracted vomiting. The initial cystogram was negative; however, CT imaging highly suggested an intraperitoneal bladder perforation, which was confirmed during laparotomy and subsequently repaired. Cystoscopic evaluation prior to laparotomy revealed no concurrent bladder pathology, and the ureteric orifices were intact. A cystogram 2 weeks after repair demonstrated no leaks, and her catheters were removed. She recovered well, with expectant postoperative pain and lower urinary tract symptoms settling on 3-month review. Spontaneous bladder rupture is a rare entity, with very few reports in the literature.

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Section: Discussionmentioning

confidence: 80%

Spontaneous rupture of the bladder during vomiting

et al. 2017

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“…This phenomenon is called 'reverse autodialysis' and presents with 'pseudo renal failure'. 4 The diagnosis of bladder rupture is made with a cystography either conventional or CT assisted. Contrast of about 300 -400 ml is instilled into the bladder and radiographs done.…”

Section: Discussionmentioning

confidence: 99%

Isolated intraperitoneal rupture of the urinary bladder following blunt trauma abdomen

Arumugam

2017

Int Surg J

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Bladder injuries occur due to blunt, penetrating or iatrogenic trauma. The ones that occur following blunt trauma are commonly associated with pelvic fractures and can range from contusions to bladder rupture. Extraperitoneal ruptures occur more commonly than intraperitoneal ruptures. Here we present an uncommon case of intraperitoneal bladder rupture without any bony or solid organ injury. Following a fall from his motorbike a 42-year-old gentleman presented to us with abdominal pain, inability to pass urine with features of peritonism. CT cystography showed contrast leak into the peritoneal cavity. No other injuries were detected. The patient was taken up for emergency laparotomy and a full thickness rent in the bladder dome, 7 cm in length was found which was repaired in two layers with a supra pubic catheter. The patient improved post operatively and was discharged on the 3rd post-operative day. Intraperitoneal bladder ruptures are possible even without pelvic fractures and can be missed on routine imaging of the abdomen. A high degree of suspicion with appropriate imaging (CT cystography) is necessary in all such cases to ensure timely diagnosis and intervention.

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“…The new onset of renal failure in such clinical cases is based on the concept of "reverse auto-dialysis" of the peritoneal membrane, a reverse form of continuous ambulatory peritoneal dialysis that is most apparent when the presentation is delayed, thus leading to diffusion of metabolic waste products into the dialysate. The peritoneum subsequently reabsorbs urea and creatinine from the leaked urine, which increases the serum levels of these compounds (4,14).…”

Section: Discussionmentioning

confidence: 99%

Pseudo-acute Renal Failure due to Intraperitoneal Urine Leakage

Zhou¹,

Ying²,

Feng³

2015

Intern. Med.

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Ascites, oliguria and vomiting with an increasing serum creatinine level are often observed in patients with acute renal failure. However, these symptoms are also noted in individuals with intraperitoneal urinary leakage. Bladder rupture without a history of obvious trauma is sometimes mistaken for acute renal failure. We herein report a case of bladder perforation resembling acute renal failure in which the presentation was delayed until the patient began to experience symptoms of urinary ascites. The diagnostic dilemma associated with the rarity of this condition and possible aetiologies are discussed.

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An Unusual Case of Spontaneous Bladder Perforation with Associated Autodialysis of the Ensuing Urinary Ascites

Cited by 16 publications

References 12 publications

Spontaneous rupture of the bladder during vomiting

Spontaneous rupture of the bladder during vomiting

Isolated intraperitoneal rupture of the urinary bladder following blunt trauma abdomen

Pseudo-acute Renal Failure due to Intraperitoneal Urine Leakage

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