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Spontaneous bladder perforation unrelated to trauma or surgery
Antonio Cusano1, Fernando Abarzua-Cabezas1, Anoop Meraney1
1Department of Urology, Hartford Hospital, Hartford, Connecticut, USA.
BMJ Case Reports
|June 14, 2014
Summary
This case report details a rare spontaneous bladder perforation, a non-traumatic urinary bladder rupture. Successful surgical repair led to unremarkable urodynamics and no need for further urological follow-up.
Area of Science:
- Urology
- Surgical Case Reports
Background:
- Urinary bladder ruptures (UBR) are commonly caused by trauma (blunt, penetrating) or iatrogenic factors.
- Typical presentations include lower abdominal pain, hematuria, dysuria, and anuria.
Observation:
- A rare case of spontaneous bladder perforation in a 60-year-old woman is presented.
- The patient initially reported lower abdominal pain and diarrhea, with elevated serum creatinine.
- A CT cystogram confirmed a bladder leak.
Findings:
- The patient underwent exploratory laparotomy and successful repair of the non-traumatic bladder perforation.
- Post-repair, urodynamic assessments were unremarkable.
- Repeat post-void residual volume was zero, indicating complete bladder emptying.
Implications:
- This case highlights spontaneous bladder perforation as a rare differential diagnosis for abdominal pain and urinary symptoms.
- Successful surgical management can lead to excellent functional outcomes.
- Patients may not require long-term urological follow-up if bladder function is preserved post-repair.
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