Spontaneous bladder perforation: a rare complication of tuberculosis.
Spontaneous bladder perforation secondary to tuberculosis (TB) is very rare. Only three cases have been reported so far in the literature. Due to its rarity, the diagnosis of spontaneous bladder perforation is often missed. Confirmation of TB via culture takes a long time and starting empirical treatment for TB is necessary. We relate our experience with a young woman who presented with clinical features of a perforated appendix and was only diagnosed with bladder perforation during laparotomy. She also had distal right ureteral stricture and left infundibular stenosis. The provisional diagnosis of TB was attained via typical histopathological features and a positive Mantoux test. She was started empirically on anti-TB treatment and recovered without any complications. Urine culture after 6 weeks confirmed the diagnosis of TB.
Kong
Christopher Ho Chee
CH
Urology Unit, Department of Surgery, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
Ali
Siti Aishah Md
SA
Singam
Praveen
P
Hong
Goh Eng
GE
Cheok
Lee Boon
LB
Zainuddin
Zulkifli Md
ZM
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001064:Appendicitis / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D014401:Tuberculosis, Urogenital / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery
D000995:Antitubercular Agents