Spontaneous rupture of the urinary bladder due to bacterial cystitis
| Autor: | Hidenori Katano, Sayuri Kashiwakura, Koji Ito, Chihiro Ishizuka, Yo Kamiizumi, Tadashi Yoshida, Yasuhiro Tani, Hironori Kasai, Ryohei Murata, Tsutomu Haneda, Takeshi Tsuji |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Abdominal pain
medicine.medical_specialty Urinary bladder Ileus business.industry medicine.medical_treatment Perforation (oil well) 030232 urology & nephrology Case Report medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Blood pressure Peritoneum 030220 oncology & carcinogenesis Laparotomy medicine Presentation (obstetrics) medicine.symptom business |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| Popis: | We report a case of spontaneous rupture of the urinary bladder (SRUB) due to bacterial cystitis in a 76-year-old woman with chief complaint of abdominal pain a day before presentation. She had fever (38.0°C), and her systolic blood pressure dropped to 70 mmHg; she was referred to our hospital, where she was admitted with a diagnosis of ileus. However, her abdominal pain worsened the following day, and abdominal CT showed free air. Emergency laparotomy was performed for suspicion of digestive tract perforation, which revealed a small hole at the dome of the urinary bladder and another at the peritoneum. Suture repair was performed. We reviewed the abdominal CT on admission and noted that the perforation of the urinary bladder was present during admission, whereas that of the peritoneum occurred the following day. SRUB is rare, and bacterial cystitis rarely causes it; thus, accurate diagnosis and proper treatment are essential. |
| Databáze: | OpenAIRE |
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