Spontaneous Bladder Rupture and Pelvic Fracture Due To Bladder Cancer

Oray, Deniz; Limon, Önder; Ertan, Cem; Ugurhan, Asli Aydinoglu

doi:10.5505/1304.7361.2014.55707

Cited by 5 publications

(9 citation statements)

References 10 publications

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“…Since bladder rupture is an emergency, the diagnosis and treatment of the cancer are usually delayed. Spontaneous bladder rupture usually presents with acute abdominal pain and may go undiagnosed for a period ranging from days to weeks, and clinical suspicion is key to early diagnosis [ 16 ]. In the presented case, a CT scan showed no evidence of intraluminal bladder mass or peri vesical build-up fluid; therefore, perforation was excluded.…”

Section: Discussionmentioning

confidence: 99%

Female Gonadal Venous Insufficiency in a Clinical Presentation Which Suggested an Acute Abdomen—A Case Report and Literature Review

Matei

Dumitru

Oprițoiu³

et al. 2023

Medicina

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Pelvic venous insufficiency (PVI) is frequently associated with symptoms of abdominal pain or discomfort that is overlooked or under-diagnosed in women. Despite the fact that pelvic venous insufficiency in men is very well documented, its occurrence in women needs to be further studied. Patients with pelvic varicose veins undergo a long and inconclusive diagnostic work-up before the exact cause of the symptoms is identified. Gonadal venous insufficiency (GVI) is a condition that can present acutely, leading to diagnostic challenges. We present a case report of a 47-year-old female with acute abdominal pain and GVI, where endovascular embolization was used for successful treatment. The patient was diagnosed with GVI based on imaging findings of an enlarged left ovarian vein with retrograde flow and dilated pelvic veins seen on magnetic resonance imaging (MRI) with contrast material. Due to the severity of her symptoms and imaging findings, endovascular embolization was chosen as the treatment modality. The embolization was successful, and the patient’s symptoms resolved completely. This case highlights the challenge of diagnosing GVI with acute clinical expression and the potential benefits of endovascular embolization as a treatment option. Further studies are needed to determine the optimal management strategies for acute GVI, but endovascular embolization should be considered a safe and effective option. At the same time, we present a short review of the recent literature data related to this topic.

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Section: Discussionmentioning

confidence: 99%

Female Gonadal Venous Insufficiency in a Clinical Presentation Which Suggested an Acute Abdomen—A Case Report and Literature Review

Matei

Dumitru

Oprițoiu³

et al. 2023

Medicina

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“…Bladder rupture is a potentially life‐threatening event. It is usually associated with blunt or penetrating trauma, instrumentation including catheterisation and anatomical outflow obstruction resulting in a distended bladder 6 . It can also occur from previous bladder surgery, such as cystoscopy or bladder resection.…”

Section: Discussionmentioning

confidence: 99%

Bladder malignancy as a cause of spontaneous bladder rupture: A systematic review

Da Huang,

Shao,

Tham

et al. 2023

BJUI Compass

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ObjectivesTo characterise cases of spontaneous rupture of the urinary bladder in the context of bladder cancer.MethodsA systematic review was performed to characterise cases of spontaneous bladder rupture in patients with bladder cancer. The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) system was utilised, with databases being searched for relevant cases. Patient characteristics were extracted, including age, sex, presenting signs and symptoms, management modalities, tumour histology and mortality.ResultsThirty cases were included. Seventeen (57%) were male, and the median age of presentation was 59. Abdominal pain and peritonism were the most common presenting symptoms, in 80% and 60% of patients, respectively. Most patients (n = 16, 53%) had urothelial cell carcinoma. Nine patients (30%) died during their initial hospitalisation.ConclusionSpontaneous bladder perforation in the context of bladder cancer is a rare cause of acute abdomen. The diagnosis is associated with high mortality, highlighting the aggressive nature of the malignancies that cause spontaneous bladder rupture. This raises important questions about the role of emergency cystectomy, the timing of systemic therapy and the appropriate involvement of palliative care.

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“… 3 Once the diagnosis of this condition is established, surgical interventions such as partial cystectomy or radical cystectomy are recommended in cases of intraperitoneal rupture. 3 However, relatively many cases are managed by bilateral cutaneous ureterostomy alone 4 or conservatively using an indwelling urethral catheter, 5 as the patient's condition does not allow the patient to undergo surgery. In cases that receive surgical intervention, partial cystectomy is preferred to radical cystectomy, as radical cystectomy is deemed too invasive.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous bladder rupture due to bladder carcinoma: A case report required emergency radical cystectomy

Asano¹,

Ohtsuka²

2020

Urology Case Reports

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We report a case of spontaneous bladder rupture due to bladder carcinoma. A 52-year-old female presented in septic shock, and computed tomography revealed free air in the subphrenic space and a mass in the middle of the pelvis. The exploratory laparotomy helped to confirm a definitive diagnosis: bladder rupture due to bladder carcinoma. She underwent a radical cystectomy and survived. Surgical intervention is recommended to manage carcinomatous bladder rupture. Timely and accurate diagnosis is essential to optimize the patient's outcomes. The possibility of spontaneous bladder rupture should not be overlooked as a differential diagnosis in cases of the acute abdomen.

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Spontaneous Bladder Rupture and Pelvic Fracture Due To Bladder Cancer

Cited by 5 publications

References 10 publications

Female Gonadal Venous Insufficiency in a Clinical Presentation Which Suggested an Acute Abdomen—A Case Report and Literature Review

Female Gonadal Venous Insufficiency in a Clinical Presentation Which Suggested an Acute Abdomen—A Case Report and Literature Review

Bladder malignancy as a cause of spontaneous bladder rupture: A systematic review

Spontaneous bladder rupture due to bladder carcinoma: A case report required emergency radical cystectomy

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