Spontaneous Rupture of Urinary Bladder Diagnosed by Bedside Ultrasound; a Case Report
Introduction: Spontaneous rupture of the urinary bladder (SRUB) is rare condition. It is often difficult to diagnose particularly in busy emergency department (ED). SRUB is usually secondary to an underlying pathology, but in extremely rare condition, it can be idiopathic. Significant morbidity and mortality can result from a missed or delayed diagnosis. Case presentation: We report a case of idiopathic SRUB in a young male presented with inability to pass urine and abdominal pain in the absence of prior trauma or alcohol intoxication. A bedside ultrasound was performed by the emergency physician (EP) to confirm his suspicion, which demonstrated free intra-peritoneal fluid. This expedited further workup and management. Emergency consultation to urologist on call was initiated, the diagnosis was confirmed by CT scan and the patient was taken to the theatre. Conclusion: We report this case as it is unique in presentation, very rare in occurrence and bedside US had expedited further workup and management.
2. Muneer M, Abdelrahman H, El-Menyar A, Zarour A, Awad A, Al-Thani H. Spontaneous atraumatic urinary bladder rupture secondary to alcohol intoxication: a case report and review of literature. Am J Case Rep. 2015;16:778-81.
3. Al-Qassim Z, Mohammed A, England R, Khan Z. Idiopathic spontaneous rupture of the urinary bladder (SRUB). A case report and review of literature. Cent European J Urol. 2012;65(4):235-7.
4. Daignault MC, Saul T, Lewiss RE. Bedside ultrasound diagnosis of atraumatic bladder rupture in an alcohol-intoxicated patient: a case report. Crit Ultrasound J. 2012;4(1):9.
5. Torpin R. Spontaneous rupture of the urinary bladder in labor case report literature and new Classification. Urol Cutaneous Rev. 1940;44:553-7.
6. Wilson L. Spontaneous rupture of the urinary bladder in a tabetic patient. Med Bull Vet Admin. 1940;17:93-5.
7. Stone E. Spontaneous bladder rupture. Arch Surg. 1931;23:129.
8. Falk HC, Hochman S. Rupture of pelvic inflammatory masses into the urinary bladder. Am J Obst Gynec. 1939;38(4):654-61.
9. Kivlin D, Ross C, Lester K, Metro M, Ginsberg P. A case series of spontaneous rupture of the urinary bladder. Curr Urol. 2015;8(1):53-6.
10. Wieloch M, Bazylińska K, Ziemniak P. Spontaneous, idiopathic urinary bladder perforation–case report. Pol Przegl Chir. 2013;85(12):727-9.
11. Dokur M, Ikidag MA, Kirdak T. Idiopathic spontaneous bladder perforation: a rare case. Urol J. 2015;12(2):2119-21.
12. Albino G, Bilardi F, Gattulli D, Maggi P, Corvasce A, Marucco EC. Spontaneous rupture of urinary bladder: a case report and review. Arch Ital Urol Androl. 2012;84(4):224-6.
13. Cusano A, Abarzua-Cabezas F, Meraney A. Spontaneous bladder perforation unrelated to trauma or surgery. BMJ Case Rep. 2014; 2014: bcr2014204161.
14. Limon O, Unluer EE, Unay FC, Oyar O, Sener A. An unusual cause of death: spontaneous urinary bladder perforation. Am J Emerg Med. 2012;30(9):2081.e3-5.
15. Wu TS, Pearson TC, Meiners S, Daugharthy J. Bedside ultrasound diagnosis of a traumatic bladder rupture. J Emerg Med. 2011;41(5):520-3.
16. Ford D, Palma J, Robinson J. Traumatic bladder rupture in a paratrooper. Mil Med. 2009;174(6):662-5.
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