Pneumoperitoneum and peritonitis secondary to perforation of an infected bladder

Bergeron, Éric; Lewinshtein, Daniel; Bure, Lionel; Vallee, Chantal

doi:10.1016/j.ijscr.2021.105783

Cited by 3 publications

(1 citation statement)

References 15 publications

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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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Intraperitoneal bladder perforation caused by an indwelling Foley catheter: A challenge for clinicians and radiologist

Pierro¹,

Luciani²,

Antonio³

et al. 2023

Visual Journal of Emergency Medicine

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Intraperitoneal perforations of the bladder in pediatric urological practice. Comparative evaluation of the effectiveness of various therapeutic and diagnostic approaches

Shchedrov,

Shormanov,

Logval

et al. 2024

Urology reports (St. - Petersburg)

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BACKGROUND: Intraperitoneal damage to the bladder in the pediatric population is a rare phenomenon. Publications describe small series of observations, generalizing studies are isolated. There are no uniform diagnostic algorithms and tactics of patient management, a large number of diagnostic and tactical errors. AIM: The aim of this study is to evaluate the possibilities of laparoscopy in the diagnosis and treatment of patients under 18 years of age with intraperitoneal bladder injuries. MATERIALS AND METHODS: The work was based on the results of treatment of 16 patients with intraperitoneal perforations of the bladder under the age of 18, who were in the Regional Pediatric Clinical Hospital (Yaroslavl) and Vologda Regional Children’s Hospital No.2 (Cherepovets) for the period 2003–2023. In 10 cases, the perforations were traumatic in nature, in 6 — iatrogenic in nature. RESULTS: Surgical treatment was performed with traditional access in 6 cases, laparoscopic — in 10. The groups of patients are similar in clinical parameters. Laparotomic surgical intervention was performed from the lower median access (n = 4) and Pfanenstiel access (n = 2); with laparoscopic intervention (n = 10), a trocar arrangement with umbilical access for the camera and two accesses in the iliac regions for instruments was used. Laparoscopic surgery was accompanied by less blood loss. The duration of bladder drainage with laparoscopic intervention is reduced by 1.7 days. Laparoscopic surgery in 1 case was accompanied by the installation of a cystostomy, in the rest drainage was carried out by catheterization of the bladder. Open surgery was mainly completed by performing a cystostomy or combined drainage with a cystostomy and a urethral catheter. The duration of hospitalization is significantly shorter after laparoscopic intervention. In the first 10 years (2002–2012) 5 open operations and 2 laparoscopic operations were performed, and in the second 10 years (2013–2023) — 8 laparoscopic and one open operations. The tactics regarding bladder drainage are changing: in the first analyzed period, drainage was carried out mainly by cystostomy (n = 5) and less often by urethral catheter (n = 2), subsequently — mainly by urethral catheter (n = 7), less often by cystostomy (n = 1) or by simultaneous drainage by stoma and catheter (n = 1). CONCLUSIONS: Laparoscopic suturing is the method of choice in all cases of isolated intraperitoneal perforations of the bladder and in most combined injuries. Indications for open intervention are combined abdominal injuries, active intra-abdominal bleeding. The urethral catheter has advantages over cystostomy.

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Pneumoperitoneum and peritonitis secondary to perforation of an infected bladder

Abstract: Highlights Spontaneous urinary bladder rupture is a rare complication of urosepsis. Co-occurrence of pneumoperitoneum with a bladder perforation is very rare. Surgical intervention is mandatory in most cases of bladder perforations.

Cited by 3 publications

References 15 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

Intraperitoneal bladder perforation caused by an indwelling Foley catheter: A challenge for clinicians and radiologist

Intraperitoneal perforations of the bladder in pediatric urological practice. Comparative evaluation of the effectiveness of various therapeutic and diagnostic approaches

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