What question did this study set out to answer?

To report a rare presentation of spontaneous intraperitoneal bladder rupture in a clinically stable patient and evaluate the role of delayed-phase imaging in guiding non-operative management.

July 1, 2018International Journal of SurgeryOpen Access

A systematic review of surgical techniques for the treatment of bladder pain syndrome/ interstitial cystitis

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Authors

DBD BrattCharité - Universitätsmedizin Berlin ADAlison DowneyDoncaster Royal Infirmary NONadir I. OsmanRoyal Hallamshire Hospital

Discussion

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Implication

Case report demonstrates successful conservative management of spontaneous intraperitoneal bladder rupture via delayed-phase CT urogram, suggesting emergency laparotomy can be avoided.

Key Points

To report a rare presentation of spontaneous intraperitoneal bladder rupture in a clinically stable patient and evaluate the role of delayed-phase imaging in guiding non-operative management.
Assessed a 69-year-old male with a history of muscle-invasive bladder cancer and radiotherapy presenting with sudden lower abdominal pain after holding a full bladder.
Conducted clinical evaluation, laboratory tests (inflammatory markers and lactate), and delayed secretory phase CT urogram imaging.
CT urogram demonstrated contrast extravasation into the peritoneal cavity, confirming intraperitoneal rupture despite normal inflammatory markers, normal lactate, and an absence of peritonism.
Conservative management utilizing a 16 French urethral catheter and oral antibiotics successfully resolved the rupture without requiring emergency diagnostic laparotomy.

Cite This Study

Bratt et al. (2018) studied this question.

synapsesocial.com/papers/6a722c5f5671bbf00bc3074e https://doi.org/10.1016/j.ijsu.2018.05.591

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Implication

Case report demonstrates successful conservative management of spontaneous intraperitoneal bladder rupture via delayed-phase CT urogram, suggesting emergency laparotomy can be avoided.

A systematic review of surgical techniques for the treatment of bladder pain syndrome/ interstitial cystitis

Discussion

Member takes

Implication

Key Points

Cite This Study

A systematic review of surgical techniques for the treatment of bladder pain syndrome/ interstitial cystitis

Discussion

Member takes

Implication

Key Points

Cite This Study

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