title: [Abdominal pain and ascites formation in a 72-year-old woman].
abstract: A 72-year-old woman presented with abdominal pain after micturition. Abdominal ultrasound screening revealed ascites associated with acute renal failure. Paracentesis of the peritoneal fluid was performed. Biochemical analysis indicated a peritoneal transsudate and increased creatinine. Cystoscopy detected a rupture of the urinary bladder. Catheterization and antibiotic therapy resulted in an improvement of pain and closure of the hole in the urinary bladder wall. Several different disorders can induce a rupture of the urinary bladder. In this case, severe chronic constipation was the most probable causative disease.
authors.affiliation: Medizinische Klinik 1, Klinikum Landshut, Akademisches Lehrkrankenhaus der LMU, Robert-Koch-Str. 1, 84034, Landshut, Deutschland, elisabeth.hartig@klinikum-landshut.de.
authors.forename: E
authors.initials: E
authors.lastname: Hartig
authors.forename: F
authors.initials: F
authors.lastname: Kronschnabl
authors.forename: A
authors.initials: A
authors.lastname: Holstege
mesh_terms: D015746:Abdominal Pain; D000368:Aged; D001201:Ascites / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D003248:Constipation / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D016896:Treatment Outcome; D001745:Urinary Bladder Diseases / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy
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