Spontaneous bladder rupture and associated factors during pregnancy:a systematic review and metanalysis protocol

Ranjbar, Amene; Mehrnoush, Vahid; Roozbeh, Nasibeh; Banaei, Mojdeh; Darsareh, Fatemeh

doi:10.1136/bmjopen-2022-063955

Cited by 2 publications

(2 citation statements)

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“…number CRD42022319511. It should be noted that the protocol was also published previously [ 15 ]. Because the study only included previously published studies, no ethical approval was required.…”

Section: Reviewmentioning

confidence: 99%

Manifestation of Spontaneous Rupture of the Urinary Bladder in Pregnancy: A Systematic Review of the Literature

Ranjbar,

Mehrnoush,

Montazeri

et al. 2023

Cureus

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Spontaneous rupture of the urinary bladder (SRUB) during pregnancy is a potentially fatal event that necessitates immediate surgery. The aim of this systematic review is to determine the symptoms, causes, associated factors, and prognosis of SRUB in pregnancy. We searched the literature from inception until December 2022 using the Cochrane Central Register, PubMed, EMBASE, ProQuest, Scopus, and Google Scholar. Articles not in English and those unrelated to the topic were excluded. The JBI Critical Appraisal Checklist for case reports was employed for the risk of bias assessment. The search strategy yielded 312 citations; 29 full-text articles were evaluated for eligibility after screening. Five case reports were included in this review. The age range of the cases was 27-39 years. Four cases were in their second trimester of pregnancy, and one was in her third. Two cases had undergone previous cesarean sections, and one had an appendectomy and salpingectomy due to an ectopic pregnancy. One case reported a history of alcohol and drug abuse. The most common symptoms were abdominal pain, abdominal distension, oliguria, voiding difficulty, hematuria, fever, and vomiting. The diagnosis of SRUB was primarily made via emergency laparotomy due to the patients' critical conditions. Beyond its diagnostic role, laparotomy was also the treatment method in all cases. Tear repair, antibiotic therapy, and urinary catheterization were all integral parts of the treatment. Four cases resulted in an uneventful pregnancy and a healthy, full-term baby. In one case, a hysterectomy was performed due to a combined uterus and bladder rupture. SRUB often presents with non-specific symptoms, leading to a delayed diagnosis. A high index of suspicion is essential when a pregnant woman exhibits urinary symptoms and severe abdominal pain, especially in those with a history of previous surgery. Early detection and treatment of SRUB are critical for an uneventful recovery.

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Section: Reviewmentioning

confidence: 99%

Manifestation of Spontaneous Rupture of the Urinary Bladder in Pregnancy: A Systematic Review of the Literature

Ranjbar,

Mehrnoush,

Montazeri

et al. 2023

Cureus

Self Cite

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“…Именно на фоне изменений стенки МП и упомянутых особенностей мышечного тонуса детрузора и происходит то минимальное воздействие, которое приводит к спонтанному разрыву органа и которое редко учитывается при сборе анамнеза, так как представляется незначительным и недостаточным для развития разрыва. В качестве такого «производящего» фактора может выступать выраженный кашель или рвота [30], нарушение опорожнения кишечника [31], беременность и родовая деятельность [32][33][34]. В редких, описываемых в литературе случаях достаточным оказывается напряжение при мочеиспускании на фоне хронической микционной недостаточности [35].…”

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Spontaneous Rupture of Urinary Bladder

Yarovoy,

Asfandiarov,

Kruglov

et al. 2024

Caspianjournalof Medicine and Pharmacy

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: Bladder ruptures are a serious injury to the abdomen and pelvis. The development of urinary leaks, peritonitis and septic complications cause a high mortality rate in this pathology. In the vast majority of cases, the cause of bladder rupture is trauma. Much less common are the so-called spontaneous ruptures of the bladder, in which the main cause is weakness of the muscle wall, against which a minimal increase in intravesical pressure leads to rupture of the organ according to a typical hydrodynamic mechanism. The rarity of this pathology, the variety of etiological factors, and the absence of any specific clinical manifestations in most cases lead to delayed diagnosis, which negatively affects the results of treatment. This paper summarizes the literature data and our own clinical experience in treating patients with spontaneous rupture of the bladder. The above analysis of clinical observations will allow practicing urological surgeons to be more attentive and purposeful in collecting anamnesis in patients with a clinical picture of an acute abdomen and, if there is a suspicion of spontaneous rupture of the bladder, to use a set of modern diagnostic capabilities. An accurate and timely diagnosis will allow patients to be operated on earlier, before the clinical manifestations of diffuse peritonitis develop, which will have a positive impact on the results of treatment.

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Spontaneous bladder rupture and associated factors during pregnancy:a systematic review and metanalysis protocol

Cited by 2 publications

References 15 publications

Manifestation of Spontaneous Rupture of the Urinary Bladder in Pregnancy: A Systematic Review of the Literature

Manifestation of Spontaneous Rupture of the Urinary Bladder in Pregnancy: A Systematic Review of the Literature

Spontaneous Rupture of Urinary Bladder

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