[Spontaneous rupture of the bladder].
A spontaneous bladder rupture was diagnosed using ultrasound and CT scan in 3 patients, 1 woman aged 62 and 2 men aged 77 and 42, presenting with abdominal pain, anuria and prior problems with urination. The younger man had suffered from this previously; he was now suffering from bacterial peritonitis due to infected urine. All 3 patients recovered after treatment with a transurethral catheter and antibiotics. A transurethral resection was performed on the benign enlarged prostate of the older man. The combination of non-specific symptoms, the absence of trauma history and its very rare occurrence mean that initially a spontaneous bladder rupture may not be suspected. However, an untreated bladder rupture can lead to life-threatening situations. Screening the abdomen with ultrasound, an ultrasound-guided puncture and CT scan may yield results that suggest a bladder rupture. In most cases, conservative treatment with a transurethral catheter will be sufficient. Sometimes surgical repair of a bladder rupture may be necessary.
Mellema
C T
CT
Afd. Urologie, Medisch Centrum Haaglanden/Westeinde Ziekenhuis, Lijnbaan 32, 2512 VA Den Haag. c.mellema@mchaaglanden.nl
Henneman
O
O
Leenarts
J A
JA
Puylaert
J B
JB
D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology; D011379:Prognosis; D012422:Rupture, Spontaneous / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D014057:Tomography, X-Ray Computed; D001745:Urinary Bladder Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D014546:Urinary Catheterization; D014547:Urinary Diversion
D000900:Anti-Bacterial Agents