In utero spontaneous bladder rupture in a fetus with posterior urethral valve: A case report of prenatal diagnosis and management

2018 ◽  
Vol 44 (7) ◽  
pp. 1318-1321
Author(s):  
Shoichi Magawa ◽  
Hiroaki Tanaka ◽  
Masafumi Nii ◽  
Shintaro Maki ◽  
Yuki Kamimoto ◽  
...  
2021 ◽  
Vol 14 (9) ◽  
pp. e240857
Author(s):  
Massimo Garriboli ◽  
Shimaa Ibrahim ◽  
Joanna Clothier

We describe a case of a 3-year-old boy with Down syndrome who developed a bladder rupture as a consequence of an undiagnosed posterior urethral valve (PUV). He had a history of urinary tract infections and constipation and was acutely admitted in poor condition and underwent laparotomy that revealed peritoneal sepsis secondary to bladder perforation. Bladder was drained using a suprapubic catheter and the condition of the boy gradually improved. Once stable, a cystourethroscopy confirmed the presence of PUV. Video-urodynamic studies performed at the check cystoscopy showed the bladder to be of reduced compliance (end fill pressure at 100 mL fill 30 cmH2O) with raised voiding pressures (76–100 cmH2O) and significant incomplete bladder emptying. Currently, the patient is doing very well, serum creatinine has normalised, he is infection-free and thriving; his bladder is managed with a vesicostomy.


2017 ◽  
Vol 12 (1) ◽  
pp. E34-6
Author(s):  
Cyrus Chehroudi ◽  
Kourosh Afshar

Bladder rupture in the absence of trauma (spontaneous bladder rupture) is a rare but life-threatening phenomenon, commonly associated with pelvic malignancy1,2 and postvaginal delivery.3 In children, case reports of spontaneous bladder rupture are most often idiopathic or associated with congenital genitourinary malformations (e.g., posterior urethral valve) and bladder augmentation surgery.4 Since bladder rupture often presents with acute abdominal pain, the diagnosis can be missed, leading to delayed treatment and poor outcomes. Here, we describe the second case in the literature, to our knowledge, of spontaneous bladder rupture in a pediatric patient with prior bladder rhabdomyosarcoma.


2008 ◽  
Vol 126 (2) ◽  
pp. 126-127 ◽  
Author(s):  
Carlos Márcio Nóbrega de Jesus ◽  
José Carlos de Souza Trindade Filho ◽  
José Goldberg

CONTEXT: Posterior urethral valve (PUV) is a widely known condition affecting males that generally presents prenatally or at birth. PUVs have also been occasionally described in literature in cases diagnosed during adolescence or adulthood. CASE REPORT: This report presents two late PUV cases, one in a teenager and the other in an adult. Both cases had had clinical signs of urinary tract infection and obstructive urinary symptoms. The diagnoses were made by means of voiding cystourethrography and urethrocystoscopy. Endoscopic valve fulguration was the treatment chosen for both. Their follow-up was uneventful.


2008 ◽  
Vol 18 (1) ◽  
Author(s):  
EA Nzeribe ◽  
PE Okoro ◽  
TC Ezeofor ◽  
HC Nwaogwugwu

1986 ◽  
Vol 136 (5) ◽  
pp. 1068-1070 ◽  
Author(s):  
Joel A. Piser ◽  
Marshall Kamer ◽  
Randall G. Rowland

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