Idiopathic Spontaneous Intraperitoneal Rupture of Bladder
Journal Title: Indian Journal of Emergency Medicine - Year 2018, Vol 4, Issue 3
Abstract
Introduction: Intraperitoneal rupture of the bladder is considered rare(20%) as compared to extraperitoneal [1]. Idi-opathic rupture of urinary bladder is even rare (1%) [2]. The causes of spontaneous bladder rupture are ill defined and may vary from chronic alcoholism to bladder over distension and trivial trauma such as minor falls. Case Report: A 62 year old male patient presented to our emergency department with complaints of constipation and absent urine output for last one day. He had no known comorbidities. On examination he had normal vitals with no hypotension. The abdomen was distended, tense, non tender with absent bowel sounds. He was drowsy but arousable with no other neurological deficits. The USG screening in ED showed massive amount of free fluid in Morrison’s pouch. ABG and Chest X Ray were normal. NCCT Abdomen showed moderate to gross free fluid in peritoneal cavity with intraperitoneal rupture of bladder in the dome. He was urgently taken up for exploratory laparotomy which confirmed the CT findings. Conclusion: This case illustrates a very rare incidence of intraperitoneal urinary bladder rupture with no apparent cause.
Authors and Affiliations
Surabhi Das
Keywords
Related Articles
- EP ID EP553138
- DOI 10.21088/ijem.2395.311X.4318.27
- Views 57
- Downloads 0
Hyponatraemia in ED:Risk Factor Conundrum
Aims of the Study: Profound hyponatraemia (<125 mmol/l) is frequent in the emergency department. Its incidence appears to increase with age and in patient’s on antihypertensive medication particularly diuretics.Our objec...
To Determine Cardiac Function As A Predictor of Outcome in Patients with Septic Shock
Aim: Aim of the present study is to study the significance of echocardiography in patients with septic shock along with the significance of clinical prediction scores and their correlation with echocardiography findings...
Integrative Weaning Index: Can it be Used Routinely as a Predictor of Weaning Success?
Objective: Application of Integrative Weaning Index in predicting weaning success. Materials and Methods: A prospective study on the mechanically ventilated 26 patients; after minimum 24 hours of ventilation criterias of...
A Study of Initial Assessment of Emergency Patients Using REMS Score and HOTEL Score
Aims: To assess the prognostic values and predicting in-hospital mortality of patients admitted to ED by Rapid Emergency Medicine Score (REMS) and Hypotension, oxygenation, temperature, ECG abnormality, loss of independe...
Study on Clinical Profile of Pulmonary Embolism
Background: Pulmonary thromboembolism (PTE) is a major health problem with significant mortality and morbidity. Although rapid advances have taken place in the diagnosis and management of VTE, PE is still an underreporte...