2019
DOI: 10.1016/j.eucr.2019.100873
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Idiopathic spontaneous rupture of the urinary bladder: An unusual presentation of intraperitoneal bladder rupture managed conservatively

Abstract: Spontaneous rupture of the urinary bladder (SRUB) is uncommon and associated with significant morbidity and mortality. We report an unusual presentation of idiopathic, spontaneous bladder rupture with normal ascitic fluid creatinine concentration. SRUB should be considered in patients with a rise in serum creatinine and intraperitoneal free fluid even in the absence of classical features of bladder rupture. Idiopathic intraperitoneal SRUB can be conservatively managed in carefully selected patients with close … Show more

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Cited by 17 publications
(19 citation statements)
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“…In most cases, bladder rupture occurs through the peritoneal cavity 2 , 3 , 4 , 5 since its dome is the weakest area. The extraperitoneal bladder is protected by adjacent structures, so its damage is rare.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In most cases, bladder rupture occurs through the peritoneal cavity 2 , 3 , 4 , 5 since its dome is the weakest area. The extraperitoneal bladder is protected by adjacent structures, so its damage is rare.…”
Section: Discussionmentioning
confidence: 99%
“…As well as paper follow the statements of the ethics committee of our institution. 1 , 2 , 3 , 4 , 5 …”
Section: Author Contributionmentioning
confidence: 99%
“…The majority of bladder ruptures occur as a result of trauma and typically manifest in several key presenting symptoms including gross hematuria and abdominal pain accompanied with peritoneal signs. [7] In contrast to traumatic rupture, where the above signs are often present, spontaneous rupture presents a diagnostic dilemma as patients typically present with sub-clinical findings and often lack the known risk factors that would direct clinicians to this diagnosis. [7] The incidence and prevalence of SRUB is not well known, and there are several case reports that attribute the etiology of rupture to underlying bladder wall pathology often exacerbated by binge alcohol consumption, malignancy, autoimmune disorders, radiation, and obstructive or neurogenic pathology.…”
Section: Case Presentationmentioning
confidence: 99%
“…[7] In contrast to traumatic rupture, where the above signs are often present, spontaneous rupture presents a diagnostic dilemma as patients typically present with sub-clinical findings and often lack the known risk factors that would direct clinicians to this diagnosis. [7] The incidence and prevalence of SRUB is not well known, and there are several case reports that attribute the etiology of rupture to underlying bladder wall pathology often exacerbated by binge alcohol consumption, malignancy, autoimmune disorders, radiation, and obstructive or neurogenic pathology. [3,7] A thorough clinical history is key in identifying predisposing risk factors, although these factors may not be present in all patients as in our case.…”
Section: Case Presentationmentioning
confidence: 99%
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