Abstract
Spontaneous intraperitoneal bladder rupture in a 38 year old man with a spastic paraparesis since infancy is described. Delayed diagnosis resulted in peritoneal autodialysis so providing an opportunity for documentation of biochemical abnormalities. Surgery resulted in a successful outcome. The literature on this rare condition is outlined and difficulties in diagnosis are discussed. The diagnostic value of urea and electrolyte levels in ascitic fluid is emphasized.
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Selected References
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- BASTABLE J. R., DE JODE L. R., WARREN R. P. Spontaneous rupture of the bladder. Br J Urol. 1959 Mar;31(1):78–86. doi: 10.1111/j.1464-410x.1959.tb09386.x. [DOI] [PubMed] [Google Scholar]
- Blangy S., Cornud F., Sibert Zbili A., Benacerraf R. Rupture spontanée d'une vessie neurologique. Présentation d'un nouveau cas. J Radiol. 1982 Oct;63(10):553–555. [PubMed] [Google Scholar]
- Briggs J. R., Minns R. A., Smith I. I. Congenital rupture of a neuropathic bladder: report of a case. Dev Med Child Neurol. 1985 Jun;27(3):369–374. doi: 10.1111/j.1469-8749.1985.tb04549.x. [DOI] [PubMed] [Google Scholar]
- Colodny A. H. Bladder injury during herniorrhaphy. Manifested by ascites and azotemia. Urology. 1974 Jan;3(1):89–90. doi: 10.1016/s0090-4295(74)80072-5. [DOI] [PubMed] [Google Scholar]
- HERSHMAN H., ALLEN H. L. Spontaneous rupture of the normal urinary bladder: report of one case. Surgery. 1954 May;35(5):805–808. [PubMed] [Google Scholar]
- Howat J. M. Urinary ascites complicating spina bifida. Arch Dis Child. 1971 Feb;46(245):103–105. doi: 10.1136/adc.46.245.103. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Juul P., Højhus H. Spontaneous rupture of the urinary bladder. Scand J Urol Nephrol. 1985;19(2):155–156. doi: 10.3109/00365598509180247. [DOI] [PubMed] [Google Scholar]
- KO K. W., RANDOLPH J., FELLERS F. X. PERITONEAL SELF-DIALYSIS FOLLOWING TRAUMATIC RUPTURE OF THE BLADDER. J Urol. 1964 Apr;91:343–346. doi: 10.1016/s0022-5347(17)64126-0. [DOI] [PubMed] [Google Scholar]
- Morrell P., Coulthard M. G., Hey E. N. Neonatal urinary ascites. Arch Dis Child. 1985 Jul;60(7):676–678. doi: 10.1136/adc.60.7.676. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shaked A., Meretyk S., Pode D., Caine M. Nontraumatic spontaneous rupture of the urinary bladder. Can J Surg. 1986 Mar;29(2):107–109. [PubMed] [Google Scholar]
- Shinotoh H., Hattori T., Kitano K., Suzuki J. Hyperkalaemic paralysis following traumatic rupture of the urinary bladder. J Neurol Neurosurg Psychiatry. 1985 May;48(5):484–485. doi: 10.1136/jnnp.48.5.484. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sullivan M. J., Lackner L. H., Banowsky L. H. Intraperitoneal extravasation of urine. BUN-serum creatinine disproportion. JAMA. 1972 Jul 31;221(5):491–492. [PubMed] [Google Scholar]
- THOMPSON I. M., JOHNSON E. L., ROSS G., Jr THE ACUTE ABDOMEN OF UNRECOGNIZED BLADDER RUPTURE. Arch Surg. 1965 Mar;90:371–374. doi: 10.1001/archsurg.1965.01320090049011. [DOI] [PubMed] [Google Scholar]
- Trulock T. S., Finnerty D. P., Woodard J. R. Neonatal bladder rupture: case report and review of literature. J Urol. 1985 Feb;133(2):271–273. doi: 10.1016/s0022-5347(17)48914-2. [DOI] [PubMed] [Google Scholar]
- Williams N. S. Late presentation of intraperitoneal rupture of the urinary bladder. Postgrad Med J. 1976 Apr;52(606):246–247. doi: 10.1136/pgmj.52.606.246. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Woo J. Spontaneous rupture of the bladder in a patient with cor pulmonale presenting as acute abdominal emergency. Postgrad Med J. 1986 Jul;62(729):702–702. doi: 10.1136/pgmj.62.729.702. [DOI] [PMC free article] [PubMed] [Google Scholar]
