Spontaneous bladder perforation unrelated to trauma or surgery

Abstract

SUMMARYUrinary bladder ruptures (UBR) typically result from either blunt or penetrating trauma, or from iatrogenic surgical injuries. Patients typically present with symptoms including lower abdominal pain, haematuria, dysuria and anuria. Here, we report on a rare case of spontaneous bladder perforation. A 60-year-old, Caucasian woman initially presented with lower abdominal pain and diarrhoea, and was subsequently found to have an elevated serum creatinine level. A CT cystogram revealed a leak from the bladder. The patient consented to exploratory laparotomy and repair of the non-traumatic bladder perforation. At the time of the last follow-up, given the fact that the patient's urodynamics were unremarkable and that she was emptying her bladder well (repeat postvoid residual was zero), the patient was informed that she did not require future urological follow-up unless difficulties arise. BACKGROUND

Respiratory distress associated with acute hydrothorax during transurethral electrocoagulation: a case report

“…Hematuria and mucosal thinning are common complications of radiation therapy for prostate cancer [ 3 ]. Pelvic radiotherapy is also associated with an increased risk of bladder rupture [ 4 ], and bladder perforations can also occur in transurethral bladder tumor surgery with a frequency of 1.3–5% [ 1 ]. In this case, ventilatory failure occurred early during surgery, so the preceding bladder perforation could have occurred intraoperatively or spontaneously before surgery.…”

An Interesting Complication After the Transurethral Bladder Tumor Resection: Inflated Catheter Balloon Out of the Bladder

“…5,15 While especially retroperitoneal perforations are mostly treated conservatively, a surgical operation is mostly needed in intraperitoneal perforations. 1,6 Moreover, there are those who prefer the conservative approach in the intraperitoneal perforation. People supporting the conservative approach usually report the fact that a dramatical improvement occurs after the urine drainage in the patient is a supported finding in terms of the conservative approach.…”

“…he bladder perforation mostly occurs secondarily to the trauma or iatrogenically and rarely spontaneously. 1 When the reasons for the iatrogenic bladder perforation are considered, 61.5% develop due to gynecological operations, 26.2% develop due to general surgery operations and 12.3% develop due to urologic operations. The risk of perforation is high especially in TUR-BT among urologic operations.…”

Spontaneous perforation of the bladder in a patient operated for a lung abscess: a case report

“…[4] Most cases reported in the literature included an underlying aetiology responsible for the rupture. [1] In 1939, Falk and Hochman reported three cases due to inflammatory aetiology, most of which were of gonorrheal origin.…”