Open AccessConservatively managed spontaneous intraperitoneal bladder perforation in a patient with chronic bladder outflow obstruction
Author(s) -
Abeyna Lc Jones,
James Armitage,
Christof Kastner
Publication year - 2014
Publication title -
urology annals (print)
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/0974-7796.141017
Subject(s) - medicine , presentation (obstetrics) , abdominal pain , abdominal distension , ascites , surgery , urinary system , urinary retention , case presentation , urinary bladder , perforation , radiology , punching , materials science , metallurgy
We present the unusual case of a spontaneous intraperitoneal bladder rupture as a first presentation of chronic bladder outflow obstruction secondary to benign prostatic hyperplasia. A contributing factor to diagnostic delay was unfamiliarity with the classical presentation of abdominal pain, abdominal distension and urinary ascites leading to autodialysis represented by an unusually high serum creatinine. A cystogram was performed after a non-contrast computed tomography (CT) scan originally performed to determine the cause of abdominal pain, failed to confirm the diagnosis. The patient's initial acute presentation was successfully managed conservatively with prolonged urinary catheterization.