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Case Reports
. 2021 Jan 18;2021(1):rjaa570.
doi: 10.1093/jscr/rjaa570. eCollection 2021 Jan.

Laparoscopy management for spontaneous bladder rupture: a case report

Simone Celotti  1 , Laura Benuzzi  2 , Chiara Ceriani  1 , Piero D'Amore  2 , Diego Foschi  2 , Luca Del Re  1
Affiliations
Case Reports

Laparoscopy management for spontaneous bladder rupture: a case report

Simone Celotti et al. J Surg Case Rep. .

Abstract

We present a case of a 79-year-old man with lower abdominal pain and negative Blumberg sign. An indwelling bladder catheter was inserted for urinary retention due to a tight phimosis 2 months earlier. A contrast-enhanced computed tomography scan revealed a huge gastrectasia and small bowel distention due to a suspected adherent bridle. The clinical signs and the laboratory tests were highly suspicious for bowel obstruction and emergency surgery was indicated. Exploratory laparoscopy showed a bladder hole tamponade by an ileum loop. The perforation was sutured laparoscopically and the patient was discharged on the 14th postoperative day. In our case, emergency laparoscopic exploration was useful for the diagnosis and the treatment of spontaneous bladder rupture. We hope this case report can be useful to give these patients better outcomes. Notably we would like to emphasize that the presence of a urinary catheter can be a risk factor for intraperitoneal bladder rupture.

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Figures

Figure 1
Figure 1
Plain abdomen radiography shows distended stomach and dilatated loops of bowel without free gas in the peritoneal cavity.
Figure 2
Figure 2
Axial CT scans of abdomen show gastrectasia with the NG tube just inserted (A) and a suspected image of bowel emphysematous walls (B).
Figure 3
Figure 3
Intraoperative findings of the bladder diverticulum, before (A) and after (B) suture.
See this image and copyright information in PMC

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