Urological pathology causing free air under the diaphragm?
We report a case of long-standing, keratinising, squamous metaplasia of the bladder with undiagnosed malignant transformation to squamous cell carcinoma presenting as acute peritonitis secondary to spontaneous perforation of the bladder tumour. This presentation as an acute abdomen mimicking a perforated peptic or duodenal ulcer is the most unusual aspect of the case.
Chitale
Sudhanshu
S
Department of Urology, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK. chitalenorwich@aol.com
Debbarma
Manash
M
Wilson
Patrick
P
Burgess
Neil
N
Peat
Danielle
D
D000006:Abdomen, Acute / Q000209:etiology; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications*; D002471:Cell Transformation, Neoplastic; D003937:Diagnosis, Differential; D003964:Diaphragm; D006801:Humans; D008297:Male; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis; D010538:Peritonitis / Q000209:etiology*; D011027:Pneumoperitoneum / Q000209:etiology*; D001749:Urinary Bladder Neoplasms / Q000150:complications*