2022, Number 1
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Rev Mex Urol 2022; 82 (1)
Spontaneous rupture of the urinary bladder. Report of a case and the importance of making an accurate and timely diagnosis
García-Saucedo J, Montelongo-Rodríguez FA, Ochoa-Arvizu MA, Robles-Torres JI, Gómez-Guerra LS, Garza-Guajardo R, Caballero-Malacara V
Language: Spanish
References: 10
Page:
PDF size: 233.26 Kb.
ABSTRACT
Description of the clinical case: A 59-year-old male with a history
of lower urinary obstructive symptoms presented to the emergency
department with a clinical picture of acute abdomen and hematuria
of 10 days of evolution. Spontaneous bladder rupture associated
with a complication of bladder diverticulum rupture was diagnosed.
Relevance: Spontaneous bladder rupture is a rare condition that
can be fatal. In general, this pathology presents with non-specific
symptoms, so it is necessary to think about the diagnosis. The case
of spontaneous bladder rupture is presented and how the diagnosis
was reached, for timely treatment.
Clinical implications: In a patient with a clinical picture of acute
abdomen, nitrogen elevation and hematuria in the context of a history
of bladder emptying problems, it is important to consider the
diagnosis of spontaneous bladder rupture.
Conclusions: Spontaneous rupture of a bladder diverticulum is a
very rare entity that presents with nonspecific clinical symptoms
and signs. Suspicion should be high when assessing a patient with an
acute abdomen, elevated creatinine, and hematuria.
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