Spontaneous bladder diverticulum rupture due to a squamous cell carcinoma of the bladder: a case report

Abstract

While bladder rupture is most of the time secondary to external injury such as trauma or iatrogenic events, spontaneous bladder rupture (SBR) is a rare condition which is mostly associated with bladder cancer, neurologic bladder or radiotherapy. We report a case of a 63-year-old patient with an invasive squamous cell bladder carcinoma who presented acute peritonitis caused by a SBR while being prepared for radical surgery. CT-scan helped to confirm diagnosis and emergency cystectomy was performed. SBR should be considered in differential diagnosis of peritonitis. On time diagnosis and adequate surgery could improve its prognosis.

Bladder diverticulum caused by primary bladder neck obstruction

“…Bladder diverticula can be congenital or acquired and are thought to arise secondary to a bladder outlet obstruction. Other recent case reports on bladder diverticulum have discussed unusual presentations of diverticula such as a giant diverticulum presenting as an epigastric mass, multidisciplinary surgical managements, as well as unexpected complications such as diverticulum rupture due to squamous cell carcinoma of the bladder 3–5. While these and other case reports of bladder diverticulum presenting in children and young adults have been uniquely insightful on this relatively rare finding, few, if any, comment on the importance of VUDS in the management and workup.…”