Delayed diagnosis of spontaneous bladder rupture: a rare case report

BMC Women's Health
Pingjin QiaoQiao Bao

Abstract

Bladder rupture caused by trauma or pelvic fracture is very common, and can be easily diagnosed. However, Spontaneous rupture of the bladder is rare. Reported by Peters PC. (Peters, Urol Clin N Am 16:279-82, 1989): The incidence of spontaneous bladder rupture is 1: 126000. During childbirth, the occurrence rate of this disease is lower than that of the former. It is very difficult to make an early diagnosis of the spontaneous rupture of the bladder during childbirth, which eventually results in high maternal mortality. Due to peritoneal reabsorption, the patient may show high levels of serum creatinine and potassium, and this would easily be misdiagnosed as acute renal failure. However, these patients have normal renal function, hence the diagnosis of renal failure is incorrect. A 23 year-old female patient had her first pregnancy and delivered a full-term healthy baby girl. After delivery, the patient developed fever, oliguria, massive ascites, high serum creatinine and high serum potassium. The patient was initially diagnosed with acute renal failure, however treatment for her condition was ineffective. After further examination, the patient was diagnosed with intraperitoneal bladder rupture. The patient was treated for bladd...Continue Reading

References

Jun 26, 2004·BJU International·Reynaldo G GomezJack McAninch
May 22, 2009·AJR. American Journal of Roentgenology·Parvati Ramchandani, Philip Michael Buckler
Mar 12, 2010·Urological Research·Miguel Angel Arrabal-PoloArmando Zuluaga-Gomez
May 5, 2010·BJU International·Gregory J WirthChristophe E Iselin
Nov 26, 2010·The Medical Clinics of North America·Jeremy B TonkinGerald H Jordan

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