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Generalized peritonitis secondary to spontaneous rupture of the urinary bladder in a diabetic patient: A case report
INTRODUCTION AND IMPORTANCE: Spontaneous rupture of the urinary bladder (SRUB) secondary to emphysematous cystitis(EC) in diabetic patients is extremely rare. Clinical presentations are often non-specific and display the signs and symptoms of peritonitis. The diagnosis is usually made after explorat...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9403300/ https://www.ncbi.nlm.nih.gov/pubmed/35930990 http://dx.doi.org/10.1016/j.ijscr.2022.107458 |
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author | Eghbali, Foolad Mosavari, Hesam Madankan, Ahmad Hariri, Vahid Garakani, Kiana Bhahdoust, Mansour |
author_facet | Eghbali, Foolad Mosavari, Hesam Madankan, Ahmad Hariri, Vahid Garakani, Kiana Bhahdoust, Mansour |
author_sort | Eghbali, Foolad |
collection | PubMed |
description | INTRODUCTION AND IMPORTANCE: Spontaneous rupture of the urinary bladder (SRUB) secondary to emphysematous cystitis(EC) in diabetic patients is extremely rare. Clinical presentations are often non-specific and display the signs and symptoms of peritonitis. The diagnosis is usually made after exploratory laparotomy. CASE REPORT: A 70-year-old diabetic woman presented to the emergency department with sudden diffuse abdominal pain and hematuria of six hours duration. Physical examination revealed generalized peritonitis. Multi-slice abdominal and pelvic CT scans showed free air and fluid in the abdominal cavity. After proper resuscitation, the patient was transferred to the operating room for exploratory laparotomy. A 2 cm full-thickness bladder rupture was noted at the dome of the bladder, which was repaired. CLINICAL DISCUSSION: We noticed free air in the urinary bladder wall postoperatively in the CT scan, which is the radiological sign of EC. The Pathology result was in concordance with the diagnosis. CONCLUSIONS: SRUB in patients with poorly controlled diabetes and EC is highlighted in this case study. Urinary bladder rupture secondary to EC should be considered When a diabetic patient with a history of urinary symptoms presents with an acute onset of abdominal pain suggestive of peritonitis. Uneventful recovery from SRUB is dependent on early diagnosis and treatment. |
format | Online Article Text |
id | pubmed-9403300 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-94033002022-08-26 Generalized peritonitis secondary to spontaneous rupture of the urinary bladder in a diabetic patient: A case report Eghbali, Foolad Mosavari, Hesam Madankan, Ahmad Hariri, Vahid Garakani, Kiana Bhahdoust, Mansour Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Spontaneous rupture of the urinary bladder (SRUB) secondary to emphysematous cystitis(EC) in diabetic patients is extremely rare. Clinical presentations are often non-specific and display the signs and symptoms of peritonitis. The diagnosis is usually made after exploratory laparotomy. CASE REPORT: A 70-year-old diabetic woman presented to the emergency department with sudden diffuse abdominal pain and hematuria of six hours duration. Physical examination revealed generalized peritonitis. Multi-slice abdominal and pelvic CT scans showed free air and fluid in the abdominal cavity. After proper resuscitation, the patient was transferred to the operating room for exploratory laparotomy. A 2 cm full-thickness bladder rupture was noted at the dome of the bladder, which was repaired. CLINICAL DISCUSSION: We noticed free air in the urinary bladder wall postoperatively in the CT scan, which is the radiological sign of EC. The Pathology result was in concordance with the diagnosis. CONCLUSIONS: SRUB in patients with poorly controlled diabetes and EC is highlighted in this case study. Urinary bladder rupture secondary to EC should be considered When a diabetic patient with a history of urinary symptoms presents with an acute onset of abdominal pain suggestive of peritonitis. Uneventful recovery from SRUB is dependent on early diagnosis and treatment. Elsevier 2022-07-28 /pmc/articles/PMC9403300/ /pubmed/35930990 http://dx.doi.org/10.1016/j.ijscr.2022.107458 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Eghbali, Foolad Mosavari, Hesam Madankan, Ahmad Hariri, Vahid Garakani, Kiana Bhahdoust, Mansour Generalized peritonitis secondary to spontaneous rupture of the urinary bladder in a diabetic patient: A case report |
title | Generalized peritonitis secondary to spontaneous rupture of the urinary bladder in a diabetic patient: A case report |
title_full | Generalized peritonitis secondary to spontaneous rupture of the urinary bladder in a diabetic patient: A case report |
title_fullStr | Generalized peritonitis secondary to spontaneous rupture of the urinary bladder in a diabetic patient: A case report |
title_full_unstemmed | Generalized peritonitis secondary to spontaneous rupture of the urinary bladder in a diabetic patient: A case report |
title_short | Generalized peritonitis secondary to spontaneous rupture of the urinary bladder in a diabetic patient: A case report |
title_sort | generalized peritonitis secondary to spontaneous rupture of the urinary bladder in a diabetic patient: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9403300/ https://www.ncbi.nlm.nih.gov/pubmed/35930990 http://dx.doi.org/10.1016/j.ijscr.2022.107458 |
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