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Conservative treatment of an intraperitoneal bladder perforation.

Craggs B, Michielsen D - Cent European J Urol (2011)

Bottom Line: Case report and review of the pertinent English language literature.The small intraperitoneal bladder rupture was treated conservatively via continued urinary drainage under urinary antibiotic prophylaxis until closure.A conservative treatment of a small intraperitoneal bladder perforation is possible under certain conditions.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, UZ Brussel, Free University of Brussels, Belgium.

ABSTRACT

Introduction: The management of bladder rupture depends on its anatomical location.

Material and methods: Case report and review of the pertinent English language literature.

Results: A 56-year-old man with history of an anterior rectum resection with partial cystectomy presented with signs of acute renal failure, and later with a tender, distended abdomen. Work-up including serum and ascites biochemistry, cystoscopy, and CT cystography diagnosed urinary ascites. The small intraperitoneal bladder rupture was treated conservatively via continued urinary drainage under urinary antibiotic prophylaxis until closure.

Conclusion: A conservative treatment of a small intraperitoneal bladder perforation is possible under certain conditions.

No MeSH data available.


Related in: MedlinePlus

Recurrence of ascites on CT imaging (September 2010).
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Figure 0001: Recurrence of ascites on CT imaging (September 2010).

Mentions: Three months later the patient was readmitted with abdominal pain, which started abruptly during forceful micturition after a night of heavy drinking. The onset was intense, non-crampoid, and initially located in the lower abdomen. On physical examination the abdomen was distended. CT imaging showed recurrence of ascites fluid (Fig. 1). Aspiration with analysis of the peritoneal fluid was performed. The presence of elevated creatinine levels (56 mg/dL compared to a normal serum level of 1.41 mg/dL) and urea levels (545 mg/dL compared to a normal serum level of 25 mg/dL) was suggestive of urinary ascites. The presence of a small bladder rupture was confirmed by cystoscopy (Fig. 2). A conservative approach with indwelling catheter and prophylactic urinary antiseptics (nitrofurantoin 100 mg OD) was initiated. After a few days, the patient was able to leave the hospital. CT cystography with 3-dimensional reconstruction three weeks later showed no more leakage and complete closure of the bladder perforation (Fig. 3).


Conservative treatment of an intraperitoneal bladder perforation.

Craggs B, Michielsen D - Cent European J Urol (2011)

Recurrence of ascites on CT imaging (September 2010).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921696&req=5

Figure 0001: Recurrence of ascites on CT imaging (September 2010).
Mentions: Three months later the patient was readmitted with abdominal pain, which started abruptly during forceful micturition after a night of heavy drinking. The onset was intense, non-crampoid, and initially located in the lower abdomen. On physical examination the abdomen was distended. CT imaging showed recurrence of ascites fluid (Fig. 1). Aspiration with analysis of the peritoneal fluid was performed. The presence of elevated creatinine levels (56 mg/dL compared to a normal serum level of 1.41 mg/dL) and urea levels (545 mg/dL compared to a normal serum level of 25 mg/dL) was suggestive of urinary ascites. The presence of a small bladder rupture was confirmed by cystoscopy (Fig. 2). A conservative approach with indwelling catheter and prophylactic urinary antiseptics (nitrofurantoin 100 mg OD) was initiated. After a few days, the patient was able to leave the hospital. CT cystography with 3-dimensional reconstruction three weeks later showed no more leakage and complete closure of the bladder perforation (Fig. 3).

Bottom Line: Case report and review of the pertinent English language literature.The small intraperitoneal bladder rupture was treated conservatively via continued urinary drainage under urinary antibiotic prophylaxis until closure.A conservative treatment of a small intraperitoneal bladder perforation is possible under certain conditions.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, UZ Brussel, Free University of Brussels, Belgium.

ABSTRACT

Introduction: The management of bladder rupture depends on its anatomical location.

Material and methods: Case report and review of the pertinent English language literature.

Results: A 56-year-old man with history of an anterior rectum resection with partial cystectomy presented with signs of acute renal failure, and later with a tender, distended abdomen. Work-up including serum and ascites biochemistry, cystoscopy, and CT cystography diagnosed urinary ascites. The small intraperitoneal bladder rupture was treated conservatively via continued urinary drainage under urinary antibiotic prophylaxis until closure.

Conclusion: A conservative treatment of a small intraperitoneal bladder perforation is possible under certain conditions.

No MeSH data available.


Related in: MedlinePlus