Spontaneous Rupture of the Bladder

Bastable, J. R. G.; Jode, L. R. De; Warren, R. P.

doi:10.1111/j.1464-410x.1959.tb09386.x

Cited by 106 publications

(70 citation statements)

References 33 publications

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“…Some patients experience no abdominal pain, while some manage to pass urine with absent abdominal signs. 5,6 When the rupture is not intraperitoneal, the condition may go unrecognized for some time, as the urine may collect in the perivesicular space. In patients with minimal bleeding, no evidence of sepsis and no protrusion of the bowel into the bladder, nonsurgical conservative management may be adequate.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Rupture of Bladder in a Primipara

1997

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Spontaneous bladder rupture during labor or postpartum, although uncommon, is a surgical emergency. Creatinine and urea levels and ratio are helpful in reaching a diagnosis prior to laparotomy. Postpartum patients, especially those who have had repair of perineal laceration, should be encouraged to empty their bladder completely, and should be observed carefully for signs of urinary retention so as to avoid or reduce the risks of possible spontaneous bladder rupture. Case ReportA 30-year-old nulliparous lady with a 10-year history of primary infertility was admitted at 40 weeks' gestation for induction of labor. The indication for induction was pregestational diabetes treated with insulin therapy, at term. Cervical ripening was carried out with three doses of Prepidil (prostaglandin) gel, 0.5 mg, given six to eight hours apart. Subsequently, artificial rupture of membranes was performed and Pitocin augmentation initiated six hours after the last prostin insertion. Labor progressed satisfactorily, with the first stage lasting nine hours, and the second stage 42 minutes. During the course of labor, the patient emptied her bladder three times. Two hours prior to full dilatation, a full bladder was noted. The bladder was catheterized with a Foley's catheter and 600 mL of clear urine was obtained. The patient had a normal vaginal delivery of a live female infant weighing 3254 grams. There was a second-degree perineal tear, which was repaired. The patient was discharged home 48 hours postpartum in satisfactory condition.The patient was admitted to the emergency room 84 hours after delivery with sudden onset of severe abdominal pain, oliguria and hematuria three hours prior to admission. She gave a history of nonspecific mild abdominal pain and frequency of micturition since delivery, without vomiting or change in bowel habits. She denied any history of trauma to the abdomen or a fall at home. On examination, she was dehydrated and dyspneic. Blood pressure was 110/70, pulse 120/minute and temperature 36.6°C. She had bilateral lower limb edema, while her abdomen was markedly distended with diffuse tenderness, guarding and rebound. The uterus was difficult to palpate and the lochia was normal. The bladder was catheterized and a small amount of clear urine obtained. Urine culture grew group D Enterococcus. Ultrasound scan of the uterus suggested either retained products or blood clots within a uterus of relatively normal size.The results of blood tests are detailed in Table 1. The total WBC was 6.7 K/mm 3 , while BUN (40 mg/L) and creatinine (5 mg/L) were significantly elevated. Plain abdominal x-ray showed left subdiaphragmatic air trap. A tentative diagnosis of a ruptured viscus, probably a ruptured peptic ulcer, was made and a laparotomy was carried out. Three to four liters of serous fluid were found within the peritoneal cavity. This grew Enterococcus fecalis. There was a 5 cm laceration in the dome of the bladder. This was repaired in two layers. There was no evidence of uterine or cervical lacerations, nor of any d...

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Section: Discussionmentioning

confidence: 99%

Spontaneous Rupture of Bladder in a Primipara

1997

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“…This case is presented to increase awareness of the key features of spontaneous bladder rupture in association with alcohol intoxication or substance abuse (4,7). With the documented increases in binge drinking noted in the literature, it is possible that more cases of spontaneous bladder rupture will be presenting across the country (15).…”

Section: Resultsmentioning

confidence: 94%

Spontaneous Bladder Rupture in Association with Alcoholic Binge: A Case Report and Review of the Literature

Parker

Hoonpongsimanont

Vaca

et al. 2009

The Journal of Emergency Medicine

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e Abstract-Although a few cases of bladder wall rupture have been reported in the literature in association with bladder wall disease, idiopathic rupture of the bladder without injury remains an uncommon phenomenon. We report the case of a patient presenting to the Emergency Department with diffuse abdominal pain from spontaneous bladder rupture in association with an acute alcohol binge. Although cases of spontaneous bladder rupture in association with alcohol use were historically associated with high morbidity and mortality, prompt identification and treatment can lead to favorable outcomes.

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“…El pubis, las ramas isquiopubianas, los ligamentos pubianos y umbilical y la pared anterior del abdomen protegen exteriormente la vejiga, cuyas paredes inferolaterales se relacionan con los músculos obturadores internos y su fascia en la que se fija el mús-culo elevador del ano y el coccígeo formando éstos el suelo pelviano la cual, en estado de replección, distendida, adopta forma esférica para salir de la pelvis y separar el peritoneo que recubre su cúpula de la parte posterior de la pared anterior del abdomen, ofreciendo a éste nivel una menor resistencia y mayor vulnerabilidad 1 . Según la porción de la vejiga donde se produzca solución de continuidad, anató-micamente se clasifica la rotura o perforación vesical en "intra" "extra" o "intra-extraperitoneal".…”

Section: Discussionunclassified

Rotura vesical espontánea en paciente senil con prolapso genital

et al. 2008

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RESUMENROTURA VESICAL ESPONTÁNEA EN PACIENTE SENIL CON PROLAPSO GENITAL Son múltiples y diversas las causas etiológicas de la rotura vesical. Los politraumatismos (accidentes de tráfico), el traumatismo directo abdominal, cerrado o abierto, y las lesiones yatrogénicas (cirugía abierta, endocirugía, cateterismo uretral) figuran entre las más frecuentes; sin embargo, la rotura vesical no siempre exige para su producción un enérgico, violento, directo y evidente agente externo que la provoque. En el caso que a continuación se comunica, la rotura vesical extraperitoneal tuvo su origen en un leve traumatismo perineal ocasionado al sentarse la paciente , la cual presentaba y padecía desde mucho tiempo atrás un cistocele grado III/IV acompañado de prolapso uterino.Palabras clave: Perforación espontánea Vejiga. Prolapso genital. ABSTRACT SPONTANEOUS EXTRAPERITONEAL BLADDER PERFORATION IN AN ELDERLY PATIENT WITHGENITALIA PROLAPSE There are many etiologic reasons which explain the bladder perforation. Bladder injuries happen most commonly in poli-traumatisms (traffic accident), blunt trauma, penetrating injury and iatrogenic injury (surgery, laparoscopic…). However, there is not always a vigorous, direct, extern and blunt agent causing the rupture. In the case reported the extraperitoneal bladder rupture started after a smooth perineal injury caused when the patient seated down. The patient already suffered from a cystocele III/IV plus uterine prolapse for a long time ago.

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Spontaneous Rupture of the Bladder

Cited by 106 publications

References 33 publications

Spontaneous Rupture of Bladder in a Primipara

Spontaneous Rupture of Bladder in a Primipara

Spontaneous Bladder Rupture in Association with Alcoholic Binge: A Case Report and Review of the Literature

Rotura vesical espontánea en paciente senil con prolapso genital

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