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Generalized Peritonitis Secondary to Spontaneous Rupture of the Urinary Bladder.
Mahmoud Dabbagh1, Amine Maazouz1, Mountassir Moujahid1
1Department of Surgery, Mohammed V Military Training Hospital, Rabat, MAR.
Cureus
|June 10, 2024
Summary
Spontaneous rupture of the urinary bladder (SRUB) is a rare emergency. Early diagnosis and surgical intervention are crucial for managing this condition and preventing fatal outcomes.
Area of Science:
- Urology
- Surgical Emergencies
- Oncology
Background:
- Spontaneous rupture of the urinary bladder (SRUB) is a rare but critical surgical emergency.
- Misdiagnosis and undertreatment of SRUB can lead to secondary peritonitis and high mortality.
- SRUB often requires laparotomy for definitive diagnosis.
Observation:
- A 70-year-old woman with a history of endometrial cancer radiation, hypertension, diabetes, and recurrent UTIs presented with generalized peritonitis.
- The patient's condition was initially diagnosed as generalized peritonitis.
- Exploratory laparotomy revealed a perforated urinary bladder as the cause.
Findings:
- The study aimed to explore the etiology, clinical presentation, and diagnostic strategies for SRUB.
- A perforated urinary bladder was identified as the cause of generalized peritonitis in this patient.
- The patient received appropriate care and was discharged in stable condition.
Implications:
- Clinicians must maintain a high index of suspicion for SRUB, even in patients with a history of pelvic radiation or other comorbidities.
- Prompt diagnosis and surgical management of SRUB are essential to reduce mortality and morbidity.
- This case highlights the importance of considering rare diagnoses in patients presenting with peritonitis.
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