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Spontaneous rupture of the bladder during vomiting
Ruairidh Crawford1, Thomas Richard William Oliver1, Hamid Abboudi1
1West Hertfordshire Hospitals NHS Trust, Watford, UK.
BMJ Case Reports
|June 30, 2017
Summary
A rare case of spontaneous bladder rupture occurred in a woman after severe vomiting. Prompt diagnosis via CT imaging and surgical repair led to a full recovery.
Area of Science:
- Urology
- Abdominal Surgery
- Radiology
Background:
- Spontaneous bladder rupture is an uncommon and potentially life-threatening condition.
- It typically presents with acute abdominal pain and hematuria, often following increased intravesical pressure.
Observation:
- A 46-year-old woman presented with acute abdomen and hematuria after prolonged vomiting.
- Initial cystogram was negative, but CT scan indicated intraperitoneal bladder perforation.
- Laparotomy confirmed the perforation, which was surgically repaired; cystoscopy showed no other bladder pathology.
Findings:
- Successful surgical repair of the spontaneous bladder rupture.
- Post-operative cystogram confirmed no leakage, and the patient was discharged after catheter removal.
- Full recovery was observed at 3-month follow-up, with resolution of pain and lower urinary tract symptoms.
Implications:
- Highlights the importance of advanced imaging like CT in diagnosing rare bladder injuries.
- Emphasizes that spontaneous bladder rupture, though rare, should be considered in cases of acute abdomen with hematuria.
- Demonstrates successful management and favorable outcomes with prompt surgical intervention.
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