Bladder rapture as commonly misdiagnosed pathology - case report

The non-traumatic urine bladder rapture is a very rare life-threatening condition. The diagnosis of this pathology provides many difficulties as the signs and symptoms are not specific and the role of some diagnostic methods is insufficient. We describe the case of 77-year-old male patient admitted...

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Main Authors: Maciej Putowski, Marta Podgórniak, Michał Zarobkiewicz, Nikolos Dzagnidze
Format: Article
Language:English
Published: Kazimierz Wielki University 2017-07-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/24507
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author Maciej Putowski
Marta Podgórniak
Michał Zarobkiewicz
Nikolos Dzagnidze
author_facet Maciej Putowski
Marta Podgórniak
Michał Zarobkiewicz
Nikolos Dzagnidze
author_sort Maciej Putowski
collection DOAJ
description The non-traumatic urine bladder rapture is a very rare life-threatening condition. The diagnosis of this pathology provides many difficulties as the signs and symptoms are not specific and the role of some diagnostic methods is insufficient. We describe the case of 77-year-old male patient admitted to the Emergency Department due to dyspnea, breathing difficulties, urinary difficulties and significantly distended abdomen. The patient had numerous cardiovascular diseases, moreover the interview disclosed recently diagnosed stage III prostate cancer. The laboratory tests results suggested an acute kidney failure. Due to severe condition patient was transferred to the Intensive Care Unit (ICU), where intravenous treatment with ceftriaxone and metronidazole was done for the first 2 days. Afterwards therapy was modified by introducing tienam and vancomycin. On the 4th day of hospitalization the sudden deterioration in the patient's condition occurred and the abdominal US revealed free fluid in peritoneal cavity, which was not visible in previous examinations. The CT-cystography revealed connection between the bladder and the retroperitoneal space in the right part of anterior wall. Despite the urgent laparotomy, the patient died due to multiple organ dysfunction syndrome in the course of neoplastic process as cause.
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spelling doaj.art-73dc70139fb34db2b87e8518af2978ec2022-12-22T02:07:24ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062017-07-0177Bladder rapture as commonly misdiagnosed pathology - case reportMaciej Putowski0Marta Podgórniak1Michał Zarobkiewicz2Nikolos Dzagnidze3Medical University of LublinMedical University of LublinMedical University of LublinFirst University Clinic of Tbilisi State Medical University The non-traumatic urine bladder rapture is a very rare life-threatening condition. The diagnosis of this pathology provides many difficulties as the signs and symptoms are not specific and the role of some diagnostic methods is insufficient. We describe the case of 77-year-old male patient admitted to the Emergency Department due to dyspnea, breathing difficulties, urinary difficulties and significantly distended abdomen. The patient had numerous cardiovascular diseases, moreover the interview disclosed recently diagnosed stage III prostate cancer. The laboratory tests results suggested an acute kidney failure. Due to severe condition patient was transferred to the Intensive Care Unit (ICU), where intravenous treatment with ceftriaxone and metronidazole was done for the first 2 days. Afterwards therapy was modified by introducing tienam and vancomycin. On the 4th day of hospitalization the sudden deterioration in the patient's condition occurred and the abdominal US revealed free fluid in peritoneal cavity, which was not visible in previous examinations. The CT-cystography revealed connection between the bladder and the retroperitoneal space in the right part of anterior wall. Despite the urgent laparotomy, the patient died due to multiple organ dysfunction syndrome in the course of neoplastic process as cause. https://apcz.umk.pl/JEHS/article/view/24507spontaneous bladder raptureprostate cancerbladder perforationacute renal failure
spellingShingle Maciej Putowski
Marta Podgórniak
Michał Zarobkiewicz
Nikolos Dzagnidze
Bladder rapture as commonly misdiagnosed pathology - case report
Journal of Education, Health and Sport
spontaneous bladder rapture
prostate cancer
bladder perforation
acute renal failure
title Bladder rapture as commonly misdiagnosed pathology - case report
title_full Bladder rapture as commonly misdiagnosed pathology - case report
title_fullStr Bladder rapture as commonly misdiagnosed pathology - case report
title_full_unstemmed Bladder rapture as commonly misdiagnosed pathology - case report
title_short Bladder rapture as commonly misdiagnosed pathology - case report
title_sort bladder rapture as commonly misdiagnosed pathology case report
topic spontaneous bladder rapture
prostate cancer
bladder perforation
acute renal failure
url https://apcz.umk.pl/JEHS/article/view/24507
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AT martapodgorniak bladderraptureascommonlymisdiagnosedpathologycasereport
AT michałzarobkiewicz bladderraptureascommonlymisdiagnosedpathologycasereport
AT nikolosdzagnidze bladderraptureascommonlymisdiagnosedpathologycasereport