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Spontaneous intraperitoneal rupture of the bladder
1Veterans Administration Medical Center, Phoenix, Ariz.
Urologia Internationalis
|January 1, 1987
Summary
Spontaneous bladder rupture, often intraperitoneal, is frequently unsuspected. Bladder infarction is proposed as a unifying cause for etiological factors, aiding early diagnosis.
Area of Science:
- Urology
- Pathology
Background:
- Spontaneous bladder rupture, though uncommon, is a significant clinical event.
- Historically, diagnosis is often delayed, occurring post-mortem or retrospectively.
Observation:
- Intraperitoneal rupture is the predominant type.
- A triad of pain, voiding dysfunction, and abdominal rigidity suggests rupture.
- Elevated blood urea is a sensitive diagnostic indicator.
Findings:
- Bladder infarction is hypothesized as the common underlying pathology.
- Contributing factors include indwelling catheters, certain medications, and bladder wall weakening.
Implications:
- Early diagnosis hinges on clinical suspicion and surgeon awareness.
- Cystography remains the gold standard for diagnosis.
- Understanding bladder infarction can improve diagnostic strategies for spontaneous bladder rupture.