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[Spontaneous bladder perforation due to eosinophilic cystitis: a case report]
V Ficarra1, P Beltrami, G Giusti
1Cattedra di Urologia, Università degli Studi di Verona, Italie.
Summary
Eosinophilic cystitis can cause spontaneous bladder rupture, leading to acute peritonitis. This case highlights the potential for this rare condition to cause complete bladder perforation without trauma.
Area of Science:
- Urology
- Pathology
Background:
- Eosinophilic cystitis is a rare inflammatory condition of the bladder.
- Spontaneous bladder rupture is an uncommon and severe urological emergency.
Observation:
- A patient presented with acute peritonitis secondary to spontaneous intraperitoneal rupture of the bladder.
- The rupture was attributed to eosinophilic cystitis, with no other underlying bladder pathology identified.
- Initial treatment involved urgent partial cystectomy, followed by endoscopic diathermic coagulation for a residual lesion.
Findings:
- The patient experienced no recurrence of eosinophilic cystitis during an 18-month endoscopic follow-up.
- The findings suggest a potential causal link between eosinophilic cystitis and non-traumatic bladder perforation.
Implications:
- Eosinophilic cystitis should be considered in the differential diagnosis of spontaneous bladder rupture.
- This case underscores the potential severity of eosinophilic cystitis, extending to complete bladder perforation.