Spontaneous perforation of congenital bladder diverticulum

Stein, Robert J.; Matoka, Derek J.; Noh, Paul H.; Docimo, Steven G.

doi:10.1016/j.urology.2005.04.004

Cited by 31 publications

(19 citation statements)

References 9 publications

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“…Case reports have highlighted that spontaneous atraumatic bladder rupture can occur also in the context of alcohol intoxication whereby diuresis, the dampening effect of alcohol and the reduction in the urge to micturate can contribute to a sudden rise in intravesical pressure therefore increasing the risk of rupture 2 3. Other risk factors cited include previous pelvic radiotherapy,4 bladder diverticulum5 and a neurogenic bladder 6…”

Section: Discussionmentioning

confidence: 99%

Spontaneous bladder rupture of a urinary bladder with non-muscle invasive bladder cancer

et al. 2014

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SUMMARYWe describe the case of a 65-year-old man who developed spontaneous bladder rupture after picking up his suitcase from a squatting position. He was known to have non-muscle invasive bladder cancer (NMIBC), managed previously with transurethral resections and intravesical chemotherapy. CT scan showed a large amount of free intraperitoneal fluid anterior to the bladder, suggestive of a urinoma. Management was initially conservative, with insertion of urethral catheter, intravenous antibiotics and fluid resuscitation. Follow-up CT scan showed resolution of the urinoma with the patient making a full recovery after 3 weeks. BACKGROUND

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Section: Discussionmentioning

confidence: 99%

Spontaneous bladder rupture of a urinary bladder with non-muscle invasive bladder cancer

et al. 2014

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“…In cases of high pressure, such as posterior and anterior urethral valves, urethral stricture/ atresia and bladder neck contracture, it has been proposed that rupture of the urinary tract acts as a 'pop off' mechanism decompressing the renal collective system and, therefore, having a protective role against renal parenchymal damage [5]. Factors affecting the integrity of the bladder wall may be prematurity, hypoxia [6], diverticula [7] and syndromes [8]. Iatrogenic perforation involves umbilical artery catheterization and, only rarely, traumatic placement of a Foley catheter [2], as in our case.…”

Section: Discussionmentioning

confidence: 99%

Life-Threatening Hyponatremia and Acute Renal Failure due to Iatrogenic Neonatal Bladder Rupture

et al. 2011

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Neonatal urinary ascites is a rare entity, usually associated with a spontaneous rupture of the bladder with an underlying pathology such as high pressure or wall disruption. Its presentation involves abdominal distension, metabolic derangement and respiratory compromise. We report the case of a male neonate with solitary functioning kidney presented with life-threatening persistent hyponatremia and acute renal failure due to iatrogenic bladder rupture after catheterization. The aim of our report is to raise awareness on the possibility of bladder perforation in neonates even in the absence of technical faults. We discuss the uncommon presentation of our case and highlight the need for early recognition and management of urinary ascites, addressing all subspecialties involved in diagnostic or therapeutic procedures of neonates with urinary abnormalities.

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“…Perforations of the diverticula were related to friability of the tissues in Ehlers-Danlos syndrome and increased intraluminal pressure due to diverticular neck edema, which occurs due to diverticulitis. [6,7] Primary bacterial peritonitis is defined as infection of the peritoneum without gastrointestinal visceral perforation or an etiologic source.…”

Section: Discussionmentioning

confidence: 99%

“…[1,3,5] Secondary peritonitis due to spontaneous rupture of diverticula has been reported. [6,7] Herein, we present a case with the diagnosis of generalized peritonitis secondary to atypical bladder diverticulum without perforation who underwent two emergency laparotomies.…”

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An atypical bladder diverticulum presented with recurrent peritonitis: case report

Temız¹,

Akçora²,

Atık³

2011

Ulus Travma Acil Cerrahi Derg

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Mesane divertikülleri detrusor kasının doğuştan zayıflığın-dan kaynaklanır. Sıklıkla divertikül içindeki üriner staz sunucu gelişen idrar yolları enfeksiyonu ile kendini gösterir. Mesane çıkım tıkanıklığı, alt ekstremitede siyanoz, intestinal tıkanıklık, üreteral tıkanıklık gibi divertikülün doğ-rudan basısı sonucu ve divertikülün kendiliğinden rüptü-re sonucu gelişen peritonit gibi farklı klinik tablolara neden olabilmektedir. Bu yazıda, perfore apandisiti taklit eden ve perforasyon olmadan tekrarlayan jeneralize peritonite neden olan mesane divertikülü olan bir olgu sunuldu.Anahtar Sözcükler: Mesane; çocuk; divertikül; peritonit.Bladder diverticula develop from congenital detrusor muscle defect and frequently present with urinary tract infection, which occurs as a result of urinary stasis in the diverticula. Different clinical presentations, such as bladder outlet obstruction, cyanosis of the lower extremities, intestinal obstruction, ureteral obstruction (which may occur due to direct diverticular compression), and peritonitis due to spontaneous rupture of the diverticula, were reported previously. Here, we report a case with the diagnosis of bladder diverticulum that caused recurrent generalized peritonitis without perforation and mimicked perforated appendicitis.

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Spontaneous perforation of congenital bladder diverticulum

Cited by 31 publications

References 9 publications

Spontaneous bladder rupture of a urinary bladder with non-muscle invasive bladder cancer

Spontaneous bladder rupture of a urinary bladder with non-muscle invasive bladder cancer

Life-Threatening Hyponatremia and Acute Renal Failure due to Iatrogenic Neonatal Bladder Rupture

An atypical bladder diverticulum presented with recurrent peritonitis: case report

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