Spontaneous rupture of bladder diverticulum: a case report of non-traumatic extraperitoneal urinary bladder rupture managed with surgical intervention

Authors

  • Lim Shiau Ping Department of General Surgery, Hospital Pakar Sultanah Fatimah, Muar, Johor, Malaysia

DOI:

https://doi.org/10.18203/2349-2902.isj20214387

Keywords:

Non traumatic urinary bladder rupture, Spontaneous extraperitoneal bladder diverticulum rupture

Abstract

Spontaneous extraperitoneal bladder rupture is a rare urology emergency. Most of the extraperitoneal urinary bladder rupture cases were management conservatively. To my best knowledge, there was very few reported about outcome of surgical management for spontaneous extraperitoneal urinary bladder rupture. Herein we shared our experience treating a 84 year old male who first presented with gross hematuria and frequent clots retention. Later he developed septic shock and peritonism which prompted us to do an urgent CT and found out the cause of his acute abdomen. The dilemma we faced to go in for operation was explained and patient had a turbulent post-operative time and he eventually succumbed to death due to various factors. Spontaneous extraperitoneal urinary bladder rupture is a rare cause of acute abdomen and prompt diagnosis and management can produce best clinical outcome.

Author Biography

Lim Shiau Ping, Department of General Surgery, Hospital Pakar Sultanah Fatimah, Muar, Johor, Malaysia

Department of General Surgery 

Medical Officer 

References

Peters PC. Intraperitoneal rupture of the bladder. Urol Clin North Am. 1989;16(2):279-82.

Bastable JRG, Jode LD, Warren RP. Spontaneous rupture of the bladder. Br J Urol. 1959;31(1):78-86.

Keeler LL, Sant GR. Spontaneous rupture of a bladder diverticulum. J Urol. 1990;143(2):349-51.

Sabat DK, Panigrahi PK, Sahoo RK, Acharya M, Sahu MC. Spontaneous puerperal extraperitoneal bladder wall rupture in young woman with diagnostic dilemma. J Fam Med Prim Care. 2015;4(4):601.

Sawalmeh H, Al-Ozaibi L, Hussein A, Al-Badri F. Spontaneous rupture of the urinary bladder (SRUB); a case report and review of literature. Int J Surg Case Rep. 2015;16:116-8.

Ibrahimi A, Kallat A, Ziani I, ElSayegh H, Benslimane L, Nouini. Spontaneous intraperitoneal rupture of bladder diverticulum: a rare cause of peritonitis. Case Rep Urol. 2020;2020:8880748..

Itoh N, Kounami T. Spontaneous rupture of a bladder diverticulum: ultrasonographic diagnosis. J Urol. 1994;152(4):1206-7.

Mitchell T, Al-Hayek S, Patel B, Gilbert H. Acute abdomen caused by bladder rupture attributable to neurogenic bladder dysfunction following a stroke: a case report. J Med Case Rep. 2011;5(1):1-4.

Patel RI, Haas C, Spirnak JP, Erhardt C. Spontaneous extraperitoneal bladder rupture. J Urol. 1998;159(6):2089-90.

Kivlin D, Ross C, Lester K, Metro M, Ginsberg P. A case series of spontaneous rupture of the urinary bladder. Curr Urol. 2014;8(1):53-6.

Xu M, Jin L, Shan Y, Zhu J, Xue B. A simple and effective method for bladder blood clot evacuation using hydrogen peroxide. J Int Med Res. 2020;48(5):0300060520924546.

Bagheri M, Tahmasebi M, Najafi S, Rafsanjani ZJ. Using hydrogen peroxide as a bladder irrigation solution for clot evacuation. J Pharmaceut Care. 2015:79-81.

Fu CY, Shih CH, Chang PY, Hsiao CH, Wang YC, Chen RJ. Conservative treatment of concomitant extraperitoneal bladder rupture and intrabladder blood clot formation: case report of application of ureteral catheterization. Canadian Urolog Assoc J. 2012;6(6):256.

Downloads

Published

2021-10-28

Issue

Section

Case Reports