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Urosepsis complicated by a spontaneous bladder perforation.
1Department of Emergency Services, VA New York Harbor Healthcare Center, New York, United States. nancy.lutwak@gmail.com
BMJ Case Reports
|June 8, 2012
Summary
A diabetic patient with a history of prostate cancer treatment developed spontaneous urinary bladder perforation. This rare complication required surgical intervention and extensive antibiotic therapy.
Area of Science:
- Urology
- Oncology
- Radiotherapy
Background:
- A 72-year-old male with a history of prostate carcinoma treated with pelvic irradiation presented with symptoms of urosepsis.
- Diabetes mellitus was a significant comorbidity.
Observation:
- The patient developed shaking chills, followed by severe abdominal pain and diffuse abdominal tenderness.
- Initial diagnosis was urosepsis, but clinical deterioration suggested a more severe underlying issue.
Findings:
- Spontaneous urinary bladder perforation was diagnosed.
- Surgical exploration confirmed the perforation.
- The patient required prolonged intravenous antibiotics and supportive care.
Implications:
- Spontaneous bladder perforation is a rare but serious complication following pelvic irradiation for prostate cancer.
- Early recognition and surgical management are crucial for patient outcomes.
- This case highlights the importance of considering rare complications in patients with relevant treatment histories and comorbidities.
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