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Spontaneous bladder rupture in non-augmented bladder exstrophy.

Fabian Sanchez1, Juan C Prieto, Linda A Baker

  • 1Pediatric Urology, Children's Medical Center at Dallas, University of Texas Southwestern Medical Center, Dallas, TX 75207, USA.

Journal of Pediatric Urology
|July 23, 2008
PubMed
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Spontaneous bladder rupture in children is rare, often linked to bladder augmentation. This case shows a misdiagnosed rupture in a bladder exstrophy patient, emphasizing pediatric urology consultation for acute abdominal cases with free fluid.

Area of Science:

  • Pediatric Urology
  • Surgical Case Reports
  • Abdominal Emergencies

Background:

  • Spontaneous bladder rupture is rare in children, typically occurring in augmented bladders.
  • It can also happen in non-augmented bladders with predisposing factors.
  • Bladder exstrophy is a congenital condition affecting bladder development.

Observation:

  • A case of a misdiagnosed spontaneous bladder rupture in a non-augmented bladder exstrophy patient is presented.
  • The patient presented with an acute abdomen that mimicked appendicitis.
  • No lower urinary outlet obstruction was evident.

Findings:

  • The misdiagnosis led to initial management for appendicitis, including laparoscopic exploration, fluid drainage, and appendectomy.
  • Bladder drainage was also performed.

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  • The spontaneous bladder rupture was confirmed post-operatively.

    • Implications:

    • This case underscores the importance of considering spontaneous bladder rupture in children with acute abdomen and free fluid, especially those with abnormal bladders.
    • Pediatric urological consultation is crucial for accurate diagnosis and management.
    • Early recognition can prevent delayed treatment and potential complications.