Urosepsis complicated by a spontaneous bladder perforation

The authors present a case of a 72-year-old diabetic male s/p pelvic irradiation for prostate carcinoma who arrived in the emergency department with complaints of shaking chills. After admission for urosepsis, he developed severe abdominal pain and examination revealed a diffusely tender abdomen. The patient was diagnosed with spontaneous urinary bladder perforation and underwent surgery. After several weeks of intravenous antibiotics, he was discharged with multiple drains in place and bilateral nephrostomy tubes.

[1]  C. Gomes,et al.  Abdome agudo: ruptura espontânea de bexiga como um importante diagnóstico diferencial , 2009 .

[2]  J. Ahmed,et al.  Rupture of urinary bladder: a case report and review of literature , 2009, Cases journal.

[3]  A. Basiri,et al.  Conservative management of early bladder rupture after postoperative radiotherapy for prostate cancer. , 2008, Urology journal.

[4]  M. Mardani,et al.  Spontaneous perforation of urinary bladder secondary to Candida cystitis: acute abdomen of urologic origin. , 2008, Surgical infections.

[5]  N. Burgess,et al.  Urological pathology causing free air under the diaphragm? , 2008, Annals of the Royal College of Surgeons of England.

[6]  M. Manoharan,et al.  Spontaneous rupture of bladder presenting as peritonitis. , 2002, The New Zealand medical journal.

[7]  T. Deguchi,et al.  [Recurrent spontaneous bladder rupture cured by conservative therapy: a case report]. , 2002, Hinyokika kiyo. Acta urologica Japonica.

[8]  T. Miki,et al.  [A case of spontaneous rupture of the urinary bladder followed by pneumomediastinum]. , 2002, Hinyokika kiyo. Acta urologica Japonica.

[9]  H. Takashima,et al.  [Four cases of spontaneous rupture of the urinary bladder]. , 2002, Hinyokika kiyo. Acta urologica Japonica.

[10]  D. Barber,et al.  Spontaneous bladder perforation in paraplegia as a late complication of augmentation enterocystoplasty: case report. , 1996, Archives of physical medicine and rehabilitation.

[11]  T. Ishii,et al.  [Intraperitoneal spontaneous rupture of the bladder subsequent to irradiation of the uterus: a case report]. , 1988, Hinyokika kiyo. Acta urologica Japonica.

[12]  J. Budd.  Spontaneous intraperitoneal rupture of the bladder in association with transitional cell carcinoma. , 1988, Postgraduate medical journal.

[13]  L. Jenkinson.  Spontaneous intraperitoneal rupture of the urinary bladder. , 1981, Postgraduate medical journal.

[14]  J. M. Bastos Netto,et al.  [Acute abdomen: spontaneous bladder rupture as an important differential diagnosis]. , 2009, Revista do Colégio Brasileiro de Cirurgiões.