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Conservative management of spontaneous rupture of the urinary bladder

Conservative management of spontaneous rupture of the urinary bladder,10.1007/s00192-010-1319-6,International Urogynecology Journal,Ismaiel Abu Mahfou

Conservative management of spontaneous rupture of the urinary bladder   (Citations: 2)
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We report a very rare case of intra-peritoneal spontaneous rupture of the urinary bladder which was successfully managed conservatively in a 77-year-old woman, who presented with lower abdominal pain, acute urinary retention and pelvic organ prolapse (POP). Computed tomography raised the suspicion of bladder rupture which was later confirmed by cystoscopy and cystogram. Following 8 weeks of urinary catheterisation, the bladder healed spontaneously. A subsequent sub-total abdominal hysterectomy and sacrocervicopexy were performed to treat the POP. The management of bladder rupture is discussed.
Journal: International Urogynecology Journal - INT UROGYNECOL J , vol. 22, no. 5, pp. 629-631, 2011
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    • ...Besides malignancy, irradiation, large ureterovesical stones, binge alcohol drinking, continuous bladder irrigation, postpartum and pelvic organ prolapsed as mentioned by Abu Mahfouz et al. [1] it can also be a complication of tuberculosis [2]...
    • ...However, the patient reported by Abu Mahfouz et al. [1] was a healthy lady and there was already a collection in the pelvis which was a potential focus of infection...

    Christopher C. K. Ho. Conservative management of spontaneous rupture of the urinary bladder:...

    • ...While the woman in our case [3] reported a 3day history of abdominal pain and irreducible POP and 1 day urinary retention, we believed at presentation that she may have had a degree of voiding dysfunction that she was not aware of. This in turn caused the intraperitoneal rupture, hence the abdominal pain which preceded the urine retention...

    Ismaiel Abu Mahfouzet al. Conservative management of spontaneous rupture of the urinary bladder:...

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