scholarly journals Case: Spontaneous bladder rupture presenting as sudden-onset abdominal pain in a child after many years in remission from bladder rhabdomyosarcoma

2017 ◽  
Vol 12 (1) ◽  
pp. E34-6
Author(s):  
Cyrus Chehroudi ◽  
Kourosh Afshar
Keyword(s):  
Abdominal Pain ◽  
Case Reports ◽  
Posterior Urethral Valve ◽  
Sudden Onset ◽  
Bladder Rupture ◽  
Spontaneous Bladder Rupture ◽  
Delayed Treatment ◽  
Life Threatening ◽  
Urethral Valve ◽  
Poor Outcomes

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.

Spontaneous bladder rupture secondary to posterior urethral valves in a boy with Down syndrome

2021 ◽  
Vol 14 (9) ◽  
pp. e240857
Author(s):  
Massimo Garriboli ◽  
Shimaa Ibrahim ◽  
Joanna Clothier
Keyword(s):  
Down Syndrome ◽  
Posterior Urethral Valve ◽  
Posterior Urethral Valves ◽  
Bladder Rupture ◽  
Suprapubic Catheter ◽  
Spontaneous Bladder Rupture ◽  
History Of ◽  
Urethral Valve ◽  
Tract Infections ◽  
Incomplete Bladder Emptying

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.

scholarly journals Spontaneous Bladder Rupture after Normal Vaginal Delivery: Description of a Rare Complication and Systematic Review of the Literature

Diagnostics ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. 1885
Author(s):  
Guglielmo Stabile ◽  
Francesco Cracco ◽  
Davide De Santo ◽  
Giulia Zinicola ◽  
Federico Romano ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Vaginal Delivery ◽  
Rare Complication ◽  
Diagnostic Methods ◽  
Pelvic Surgery ◽  
Bladder Rupture ◽  
Normal Vaginal Delivery ◽  
X Rays ◽  
Spontaneous Bladder Rupture ◽  
Rupture Of The Bladder

Objective: To identify the possible causes of spontaneous bladder rupture after normal vaginal delivery and to propose a diagnostic and therapeutic algorithm. Material and Methods: MEDLINE (PubMed), Web of Science and Scopus databases were searched up to August 2020. Manuscripts considered were published from 1990 and only English articles were included. The research strategy adopted included the following terms: (bladder rupture) AND (spontaneous) AND (delivery). 103 studies were identified. Duplicates were found through an independent manual screening. Subsequently, two authors independently screened the full text of articles and excluded those not pertinent to the topic. Discrepancies were resolved by consensus. Finally, thirteen studies were included. Results: PRISMA guidelines were followed. For each study, fetal weight, catheterization during labor, parity, maternal age, occurrence time, previous abdominal or pelvic surgery, symptoms complained of, diagnostic methods, and treatment were considered. Median age was 26.0 (range 20–34 years); median presentation time was 3.0 days after delivery (range 1–20 days); and median newborn weight was 3227.0 g (range 2685–3600 g). Catheterization during labor was reported only in four of the thirteen cases (30.8%) identified. The symptoms most frequently complained of were abdominal pain and distension, fever, oliguria, haematuria and vomiting. Instrumental diagnosis was performed using X-rays in five cases and computerized tomography in six cases. Ultrasound was chosen in five cases as a first diagnostic tool. In two cases, cystography was performed. Treatment was always laparotomic repair of the visceral defect. Conclusion: Abdominal pain, increased creatinine and other signs of kidney failure on blood tests should lead to suspicion of this complication. Cystourethrography is regarded as a procedure of choice, but a first ultrasound approach is recommended. The main factor for the therapeutic choice is the intraperitoneal or extraperitoneal rupture of the bladder. Classical management for intraperitoneal rupture of the bladder is surgical repair and urinary rest.

scholarly journals Late presentation of posterior urethral valve: two case reports

2008 ◽  
Vol 126 (2) ◽  
pp. 126-127 ◽  
Author(s):  
Carlos Márcio Nóbrega de Jesus ◽  
José Carlos de Souza Trindade Filho ◽  
José Goldberg
Keyword(s):  
Urinary Tract Infection ◽  
Case Report ◽  
Case Reports ◽  
Clinical Signs ◽  
Posterior Urethral Valve ◽  
Late Presentation ◽  
The Other ◽  
Voiding Cystourethrography ◽  
Urethral Valve

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.

scholarly journals Aggressive Surgical Management of Spontaneous Intramuscular Haematomas in Patients with Cirrhosis is an Important Therapeutic Option

2019 ◽  
pp. 57-59
Keyword(s):  
Case Reports ◽  
Therapeutic Option ◽  
Case Series ◽  
Gastrointestinal Haemorrhage ◽  
Sporadic Case ◽  
Sudden Onset ◽  
Medical Complication ◽  
Life Threatening ◽  
Recent Case Report ◽  
Spontaneous Haemorrhage

One known medical complication in patients with cirrhosis of the liver is sudden onset gastrointestinal haemorrhage which is usually variceal in nature and can be life threatening [1]. On occasion spontaneous haemorrhage from varices in other locations may also occur [2]. In addition, episodes of either intraabdominal or intrapulmonary haemorrhage are also associated with poor clinical outcomes in cirrhotic patients [3,4]. In comparison relatively, few cases of spontaneous intramuscular haemorrhage in patients with cirrhosis have been reported up to now. This particular clinical entity has been predominantly the subject of sporadic case reports or case series. Apart from one small case series [5], the majority of the cases were summarised in a published review in 2015 [6]. Hence the most recent case report from Mongelli et al published recently in this journal [7], now becomes the 25th case. Keywords: Cirrhosis; Spontaneous; Haemorrhage; Intramuscular; Management; Surgery

scholarly journals A Case of Idiopathic Recurrent Spontaneous Bladder Rupture

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Reid Bartholomew ◽  
Mentor Ahmeti
Keyword(s):  
Abdominal Pain ◽  
Operating Room ◽  
Neurogenic Bladder ◽  
Bladder Rupture ◽  
Contrast Extravasation ◽  
Spontaneous Bladder Rupture ◽  
Ischemic Bowel ◽  
History Of ◽  
Radiation Stricture ◽  
Elevated Creatinine

Background. A female patient presented four years following spontaneous bladder rupture with a recurrent spontaneous bladder rupture. Summary. Urinary bladder rupture is a condition usually caused by trauma or surgical instrumentation. Spontaneous bladder rupture is a much more uncommon condition and is associated with intoxication, radiation, stricture, or neurogenic bladder. We describe a case of a 40-year-old woman with a history of three caesarian sections with an idiopathic recurrent spontaneous bladder rupture. Originally, she presented with one day of worsening severe abdominal pain. CT showed possible ischemic bowel. She was taken to the operating room (OR) and found to have a bladder rupture. This was repaired, and she did well postoperatively. Four years later, she presented to the emergency department (ED) with one week of worsening abdominal pain that became severe acutely. Given that she had a similar issue four years prior the patient was suspicious, her bladder was again ruptured. CT cystogram showed contrast extravasation into the peritoneum. The patient was taken urgently to the operating room for an open repair of the bladder rupture. She did well following the procedure. Conclusion. Spontaneous bladder rupture is a surgical emergency and should be in the differential diagnosis of any patient with peritonitis with elevated creatinine and free intraperitoneal fluid. This diagnosis should especially be considered if the patient has a history pelvic radiation, neurogenic bladder, or intoxication. We submit that a history of multiple pelvic surgeries should be included in this list. CT cystogram is the diagnostic test of choice. Operative repair is generally the treatment for this condition.

scholarly journals A life-threatening condition – ruptured ectopic pregnancy with negative urine pregnancy test: A case report

2021 ◽  
Vol 16 (1) ◽  
pp. 121-123
Author(s):  
Fadzilah Mohamad ◽  
Ahmad Shuib Yahya ◽  
Aneesa Abdul Rashid ◽  
Navin Kumar Devaraj ◽  
Abdul Hadi Abdul Manap
Keyword(s):  
Abdominal Pain ◽  
Emergency Management ◽  
Ectopic Pregnancy ◽  
Case Reports ◽  
Rare Occurrence ◽  
Pregnancy Test ◽  
Threatening Condition ◽  
Life Threatening ◽  
Rule Out ◽  
Urine Pregnancy Test

Ectopic pregnancy is an extra-uterine pregnancy and is a potentially life-threatening condition that can lead to death from intra-peritoneal hemorrhage. This case reports a rare occurrence of ruptured tubal pregnancy in which the patient presented early with abdominal pain and a negative urine pregnancy test but subsequently presented again with evidence of intra-peritoneal hemorrhage. A negative urine pregnancy test is often used to rule out pregnancy, but it is not 100% sensitive. Complete assessment is critical in this important diagnosis in order to plan for the appropriate emergency management.

scholarly journals Dentoalveolar procedures in immune thrombocytopenia; systematic review and institutional guidelines

TH Open ◽  
2021 ◽  
Author(s):  
Wobke Else Maria van Dijk ◽  
Robert J.J. Van Es ◽  
Maria Elvira Pizzigatti Correa ◽  
Roger E.G. Schutgens ◽  
Karin PM van Galen
Keyword(s):  
Platelet Count ◽  
Immune Thrombocytopenia ◽  
Case Reports ◽  
Therapeutic Interventions ◽  
Medical Attention ◽  
Risk Of Bleeding ◽  
Increase Platelet Count ◽  
Life Threatening ◽  
Poor Outcomes ◽  
Invasive Techniques

Background Dentoalveolar procedures in immune thrombocytopenia (ITP) pose a risk of bleeding, due to thrombocytopenia, and infection, due to immunosuppressive treatments. We aimed to systematically review the safety and management of dentoalveolar procedures in ITP patients in order to create practical recommendations. Methods Pubmed, Embase, Cochrane and Cinahl were searched for original studies on dentoalveolar procedures in known primary ITP patients. We recorded bleeding- and infection-related outcomes and therapeutic strategies. Clinically relevant bleeding was defined as needing medical attention. Results Seventeen articles were included, of which twelve case reports/series. Overall, the quality of the available evidence was poor. Outcomes and administered therapies (including hemostatic therapies and prophylactic antibiotics) were not systematically reported. At least 73 dentoalveolar procedures in 49 ITP patients were described. The range of preoperative platelet count was 2-412*109/L. Two clinically relevant bleedings (2%) were reported in the same patient, of which one was life-threatening. Strategies used to minimalize the risk of bleeding were heterogeneous and included therapies to increase platelet count, antifibrinolytics, local measures and minimally invasive techniques. Reports on the occurrence of bleedings due to anesthetics or infection were lacking. Conclusion Based on alarmingly limited data, clinically relevant bleedings and infections after dentoalveolar procedures in ITP patients seem rare. Awaiting prospective and controlled studies to further evaluate these risks and the efficacy of therapeutic interventions, we provided our institutional guideline to guide the management of dentoalveolar procedures in ITP patients.

scholarly journals A Rare Case of Urinary Ascites in Newborn

2016 ◽  
Vol 5 (1) ◽  
pp. 1098
Author(s):  
J. Singh ◽  
A. C. Khanna ◽  
S. Arora
Keyword(s):  
Urinary Tract ◽  
Newborn Infant ◽  
Rare Case ◽  
Posterior Urethral Valve ◽  
Bladder Rupture ◽  
Urinary Ascites ◽  
Ventilator Support ◽  
Common Cause ◽  
Urethral Valve

Urinary ascites in a newborn infant is unusual and most commonly indicates a disruption to the integrity of urinary tract, the most common cause being posterior urethral valve. The report describes a case of urinary ascites, probably calyx or bladder rupture due to underlying posterior urethral valve. The patient presented as an emergency and was treated with ventilator support and subsequent drainage of urine.

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