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Spontaneous Extraperitoneal Bladder Rupture Because of Chronic Appendicitis
Bradley A Morganstern1, Robert Viviano2, Sammy Elsamra1
1Smith Institute for Urology, North Shore-Long Island Jewish Health System, NY, USA.
Abstract:
A 62-year-old man presented to the emergency department with an episode of syncope after 2-3 weeks of diffuse abdominal pain, now complaining of a severe increase in pain concurrent with >24 hours of no urine output. His workup showed an idiopathic extraperitoneal rupture of the bladder on computed tomography, which was handled conservatively with Foley insertion. Repeated follow-up and imaging showed no resolution or etiology over 2 months. The patient underwent exploratory laparotomy that showed an elongated appendix with a chronic tip appendicitis that had induced bladder rupture by chronic inflammatory changes. After repair, the patient had no further complaints.
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