Recurrent Spontaneous Rupture of the Urinary Bladder

Crastnopol, Philip; Artz, Richard S.; Rosett, Leonard

doi:10.1001/archsurg.1950.01250011118006

Cited by 11 publications

(5 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most frequently, spontaneous rupture happens at the dome or the posterior wall of the bladder [ 7 , 8 ]. Recurrent bladder ruptures [ 14 – 19 ] and idiopathic ruptures are even more rare [ 11 – 13 ]. A recurrent idiopathic spontaneous bladder rupture, as with our patient, has only been described once in literature [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…Spontaneous bladder ruptures are usually associated with intoxication, radiation, stricture, cancer, or a neurogenic bladder [ 1 – 10 ]. Rarely, they can be idiopathic [ 11 – 13 ] or recurrent [ 14 – 19 ], and a recurrent idiopathic spontaneous bladder rupture has only been described once [ 20 ]. Historically, they have been associated with significant morbidity and mortality [ 5 , 7 – 9 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A Case of Idiopathic Recurrent Spontaneous Bladder Rupture

Bartholomew

Ahmeti

2021

Case Reports in Surgery

View full text Add to dashboard Cite

Background. A female patient presented four years following spontaneous bladder rupture with a recurrent spontaneous bladder rupture. Summary. Urinary bladder rupture is a condition usually caused by trauma or surgical instrumentation. Spontaneous bladder rupture is a much more uncommon condition and is associated with intoxication, radiation, stricture, or neurogenic bladder. We describe a case of a 40-year-old woman with a history of three caesarian sections with an idiopathic recurrent spontaneous bladder rupture. Originally, she presented with one day of worsening severe abdominal pain. CT showed possible ischemic bowel. She was taken to the operating room (OR) and found to have a bladder rupture. This was repaired, and she did well postoperatively. Four years later, she presented to the emergency department (ED) with one week of worsening abdominal pain that became severe acutely. Given that she had a similar issue four years prior the patient was suspicious, her bladder was again ruptured. CT cystogram showed contrast extravasation into the peritoneum. The patient was taken urgently to the operating room for an open repair of the bladder rupture. She did well following the procedure. Conclusion. Spontaneous bladder rupture is a surgical emergency and should be in the differential diagnosis of any patient with peritonitis with elevated creatinine and free intraperitoneal fluid. This diagnosis should especially be considered if the patient has a history pelvic radiation, neurogenic bladder, or intoxication. We submit that a history of multiple pelvic surgeries should be included in this list. CT cystogram is the diagnostic test of choice. Operative repair is generally the treatment for this condition.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Case of Idiopathic Recurrent Spontaneous Bladder Rupture

Bartholomew

Ahmeti

2021

Case Reports in Surgery

View full text Add to dashboard Cite

show abstract

“…All included studies were either case reports (240) or case series (38) and comprised a total of 351 patients.…”

Section: Design Of the Included Publicationsmentioning

confidence: 99%

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

et al. 2023

View full text Add to dashboard Cite

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.

show abstract

“…This was demonstrated by Besley (1907) and by Bastable et al (1959), both of whom reported studies on experimental rupture of the bladder by distension in the cadaver. Clinical reports also confirm the vulnerability of the posterior peritonealised wall (Feigal and Polzak, 1946 ;Crastnopol, 1950 ;Yarwood, 1959). Ruptures occurring in other locations have been associated with lesions at those sites (Taylor, 1948 ;Bastable et al, 1959 ; Hammar, 1961).The accepted-explanation for this uniformity in site of rupture has been twofold: firstly that the posterior wall is weakest developmentally with wider separation of its fibres, and secondly that the bladder receives the least support in this area, there being no backing from the bony pelvis, pelvic muscles, puboprostatic ligaments and anterior abdominal wall.…”

mentioning

confidence: 91%

mentioning

confidence: 91%