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[Spontaneous urinary bladder perforation with intravesical small bowel herniation].
Yeliz Erdogan1, Mohamed Ebrahim, Majid Hammed Al Taraihi
1yeliz.erdogan@regionh.dk.
Ugeskrift for Laeger
|April 15, 2020
Summary
Spontaneous bladder perforation with intravesical bowel herniation is rare. This case report details a 53-year-old man presenting with abdominal pain and hematuria due to this serious condition.
Area of Science:
- Urology
- Gastroenterology
- Surgical Case Reports
Background:
- Spontaneous urinary bladder perforation is a rare and severe condition.
- Intravesical bowel herniation can occur secondary to bladder perforation.
- Prompt diagnosis and surgical intervention are crucial for patient outcomes.
Observation:
- A 53-year-old male presented with acute abdominal pain and macroscopic hematuria.
- Clinical examination and investigations revealed signs suggestive of bladder perforation.
- The patient was diagnosed with spontaneous bladder perforation and intravesical small bowel herniation.
Findings:
- Surgical exploration confirmed spontaneous bladder perforation.
- A significant portion of the small bowel was found herniated into the bladder.
- The patient underwent successful surgical repair and bowel decompression.
Implications:
- This case highlights the importance of considering rare diagnoses in patients with severe abdominal symptoms.
- Early recognition of spontaneous bladder perforation and intravesical herniation is vital for surgical management.
- Further research into the underlying mechanisms of spontaneous bladder perforation may improve diagnostic and therapeutic strategies.
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