Spontaneous Extraperitoneal Bladder Rupture Because of Chronic Appendicitis

A 62-year-old man presented to the emergency department with an episode of syncope after 2-3 weeks of diffuse abdominal pain, now complaining of a severe increase in pain concurrent with >24 hours of no urine output. His workup showed an idiopathic extraperitoneal rupture of the bladder on comput...

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Detalles Bibliográficos
Autores principales: Morganstern, Bradley A., Viviano, Robert, Elsamra, Sammy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2013
Materias:
Trauma & Reconstruction
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4732998/
https://www.ncbi.nlm.nih.gov/pubmed/26955533
http://dx.doi.org/10.1016/j.eucr.2013.11.005
Descripción
Sumario:A 62-year-old man presented to the emergency department with an episode of syncope after 2-3 weeks of diffuse abdominal pain, now complaining of a severe increase in pain concurrent with >24 hours of no urine output. His workup showed an idiopathic extraperitoneal rupture of the bladder on computed tomography, which was handled conservatively with Foley insertion. Repeated follow-up and imaging showed no resolution or etiology over 2 months. The patient underwent exploratory laparotomy that showed an elongated appendix with a chronic tip appendicitis that had induced bladder rupture by chronic inflammatory changes. After repair, the patient had no further complaints.

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