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Spontaneous intraperitoneal rupture of the bladder
F S Haddad1, S Pense, S Christenson
1Section of Urology, VAMC, Phoenix, Arizona, USA.
Le Journal Medical Libanais. the Lebanese Medical Journal
|January 1, 1994
Summary
Spontaneous intraperitoneal bladder rupture is a rare condition often missed. Early recognition through clinical suspicion and diagnostic aids is crucial for timely management and improved outcomes.
Area of Science:
- Urology
- Surgical Pathology
Background:
- Spontaneous intraperitoneal bladder rupture is a rare but serious condition.
- It is often unrecognized, leading to delayed diagnosis and treatment.
Observation:
- Four cases are presented, highlighting the clinical presentation.
- Symptoms include abdominal pain, difficulty urinating, hematuria, and renal failure.
- Diagnosis can be aided by high clinical suspicion, detecting urea in ascites, and cystography.
Findings:
- Etiologies are varied, including dulled sensorium, weakened bladder wall, increased intravesical pressure, and vascular lesions.
- Common factors appear to be increased intravesical pressure and a weakened bladder wall.
- Vesical infarction due to ischemia from bladder overdistention is discussed.
Implications:
- Improved recognition and early diagnosis are essential to reduce morbidity and mortality.
- Understanding the varied etiologies can guide preventative strategies.
- Further research into the pathophysiology, including vesical infarction, is warranted.