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[Spontaneous rupture of the urinary bladder]
Y Yasunaga1, K Yokokawa, E Nakano
1Department of Surgery, Ideda City Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|November 1, 1989
Summary
This case report details a non-traumatic urinary bladder rupture in a 52-year-old woman post-hemorrhoidectomy. Diagnostic imaging and cystoscopy confirmed a bladder defect, highlighting rare post-operative complications.
Area of Science:
- Urology
- Surgical Complications
- Diagnostic Imaging
Background:
- Non-traumatic urinary bladder rupture is a rare clinical event.
- Post-operative complications following hemorrhoidectomy can be diverse.
- Urinary retention and bladder distension are potential risk factors.
Observation:
- A 52-year-old woman presented with dysuria and gross hematuria after hemorrhoidectomy.
- Imaging revealed a large mass in Retzius' cavity, suggestive of bladder pathology.
- Cystoscopy and cystography confirmed a significant defect in the anterior bladder wall.
Findings:
- Histological examination excluded malignancy of the bladder.
- A large anterior bladder wall defect was identified during surgical exploration.
- Pelvic cavity contained reddish-yellow fluid, indicating extravasation.
Implications:
- This case underscores the importance of considering rare bladder injuries in post-operative patients.
- Prompt diagnosis through imaging and cystoscopy is crucial for effective management.
- Further investigation into predisposing factors for spontaneous bladder rupture is warranted.