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.
Department of Emergency Services, VA New York Harbor Healthcare Center, New York, United States. nancy.lutwak@gmail.com
Nancy
N
Lutwak
Curt
C
Dill
D000368:Aged; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous; D018805:Sepsis / Q000209:etiology*; D001745:Urinary Bladder Diseases / Q000209:etiology*; D014552:Urinary Tract Infections / Q000150:complications*