Urinary Bladder Perforation: A Forensic Case Report and Brief Literature Review.

Area of Science:

• Urology
• Pathology

Background:

• Urinary bladder ulceration and perforation are severe conditions often linked to trauma or medical procedures.
• Perforation can result in peritonitis, a life-threatening complication with high mortality.
• Spontaneous bladder rupture is rare but associated with conditions like bladder outlet obstruction, malignancy, or chronic infections.

Observation:

• A case report of a 69-year-old woman with diabetes, hypertension, and osteoarthritis.
• The patient had a history of bladder neoplasm treated with transurethral resection of the bladder tumor (TURBT) and intravesical therapy.
• Postmortem examination revealed peritonitis, bladder ulceration, and perforation.

Findings:

• Histopathological examination confirmed peritonitis and bladder perforation.
• The cause of death was determined to be peritonitis secondary to bladder perforation.

Implications:

• This case underscores the critical importance of prompt recognition and intervention for bladder perforation.
• It highlights a rare instance of peritonitis secondary to bladder perforation, even in the absence of clear initial trauma.
• Understanding the potential complications of bladder neoplasms and their treatments is crucial for patient management.