Spontaneous rupture of the urinary bladder. Report of a case and the importance of making an accurate and timely diagnosis

Authors

  • Jesús García-Saucedo Universidad Autónoma de Nuevo León, Hospital Universitario “Dr. José Eleuterio González”, Nuevo León, México
  • Fred Alain Montelongo-Rodríguez Universidad Autónoma de Nuevo León, Hospital Universitario “Dr. José Eleuterio González”, Nuevo León, México
  • Mario Alberto Ochoa-Arvizu Universidad Autónoma de Nuevo León, Hospital Universitario “Dr. José Eleuterio González”, Nuevo León, México
  • José Iván Robles-Torres Universidad Autónoma de Nuevo León, Hospital Universitario “Dr. José Eleuterio González”, Nuevo León, México
  • Lauro Salvador Gómez-Guerra Universidad Autónoma de Nuevo León, Hospital Universitario “Dr. José Eleuterio González”, Nuevo León, México
  • Valeria Caballero-Malacara Universidad Autónoma de Nuevo León, Hospital Universitario “Dr. José Eleuterio González”, Nuevo León, México .

DOI:

https://doi.org/10.48193/revistamexicanadeurologa.v82i1.690

Keywords:

español

Abstract

Abstract

Description of the clinical case: A 59-year-old male with a history of lower urinary obstructive symptoms presented to the emergency department with a clinical picture of acute abdomen and hematuria of 10 days of evolution. Spontaneous bladder rupture associated with a complication of bladder diverticulum rupture was diagnosed.

Relevance: Spontaneous bladder rupture is a rare condition that can be fatal. In general, this pathology presents with non-specific symptoms, so it is necessary to think about the diagnosis. The case of spontaneous bladder rupture is presented and how the diagnosis was reached, for timely treatment.

Clinical implications: In a patient with a clinical picture of acute abdomen, nitrogen elevation and hematuria in the context of a history of bladder emptying problems, it is important to consider the diagnosis of spontaneous bladder rupture.

Conclusions: Spontaneous rupture of a bladder diverticulum is a very rare entity that presents with nonspecific clinical symptoms and signs. Suspicion should be high when assessing a patient with an acute abdomen, elevated creatinine, and hematuria.

References

Qiao P, Tian D, Bao Q. Delayed diagnosis of spontaneous bladder rupture: a rare case report. BMC Women’s Health. 2018;18(1):124. doi: 10.1186/s12905-018-0616-y

Pradhan A. Spontaneous Rupture of Bladder : A Rare Clinical Entity. Medical Journal Armed Forces India. 2007;63(1):92–3. doi: 10.1016/S0377-1237(07)80126-2

Leahy O, Grummet J. Splash! The spontaneous rupture of a bladder diverticulum: a rare cause of an acute abdomen. ANZ Journal of Surgery. 2013;83(10):792–3. doi: 10.1111/ans.12240

Sung C-W, Chang C-C, Chen S-Y, Tseng W-P. Spontaneous rupture of urinary bladder diverticulum with pseudo-acute renal failure. Intern Emerg Med. 2018;13(4):619–22. doi: 10.1007/s11739-018-1796-z

Britto MM, Yao HHI, Campbell N. Delayed diagnosis of spontaneous rupture of a congenital bladder diverticulum as a rare cause of an acute abdomen. ANZ J Surg. 2019;89(9):E385–7. doi: 10.1111/ans.14559

Oh SB, Ahn JH. Successful conservative management of a spontaneous intraperitoneal rupture of bladder diverticulum in a critical patient: A case report. A CARE-compliant article. Medicine (Baltimore). 2020;99(7):e19262. doi: 10.1097/MD.0000000000019262

Rami Reddy SR, Cappell MS. A Systematic Review of the Clinical Presentation, Diagnosis, and Treatment of Small Bowel Obstruction. Curr Gastroenterol Rep. 2017;19(6):28. doi: 10.1007/s11894-017-0566-9

Cartwright SL, Knudson MP. Evaluation of acute abdominal pain in adults. Am Fam Physician. 2008;77(7):971–8.

Trey ND, Djakovic N, Hallscheidt FE, Lumen N. Urological Trauma. European Association of Urology (EAU); 2020.

Palthe S, Dijkstra GA, Steffens MG. A case of spontaneous urinary bladder rupture secondary to urinary retention due to an urethral stricture. Urology Case Reports. 2018;17:85–7. doi: 10.1016/j.eucr.2018.01.009

Published

2022-02-21 — Updated on 2022-02-22

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Clinical cases