[Recurrent spontaneous bladder rupture cured by conservative therapy: a case report]

Area of Science:

• Urology
• Gynecologic Oncology

Background:

• A 44-year-old woman with a history of cervical cancer treatment presented with recurrent spontaneous bladder rupture.
• The patient had undergone radical hysterectomy and radiation therapy 10 years prior.

Observation:

• Initial presentation in 1998 with acute abdominal pain and fever, diagnosed with spontaneous bladder rupture, neurogenic bladder dysfunction, and radiation cystitis.
• Successful conservative management with catheter drainage and antibiotics.
• Recurrence in 2000, again managed successfully with conservative therapy.
• Review of 12 Japanese cases of recurrent spontaneous bladder rupture.

Findings:

• Spontaneous bladder rupture is associated with neurogenic bladder dysfunction and radiation cystitis.
• Conservative management can be effective for initial episodes.
• Recurrence necessitates consideration of long-term management strategies.

Implications:

• Effective management of urination in neurogenic bladder dysfunction is vital for preventing recurrent bladder rupture.
• Urinary diversion and augmentation cystoplasty are potential surgical interventions for refractory or recurrent cases.