Spontaneous Bladder Rupture in a Catatonic Schizophrenia Patient

Catatonia is a psychiatric emergency in schizophrenia that often leads to excessive activation of the sympathetic nervous system. Urinary retention in catatonia is often underestimated but has potentially detrimental consequences. Herein, we present the case of a woman in her 40s with schizophrenia...

Full description

Saved in:
Bibliographic Details
Published inCase reports in psychiatry Vol. 2023; pp. 1 - 5
Main Authors Miyakoshi, Megumi, Arai, Takayuki, Kurose, Shin, Kaji, Masataka, Nakane, Jun, Onaya, Mitsumoto, Koreki, Akihiro
Format Journal Article
LanguageEnglish
Published New York Hindawi 2023
Hindawi Limited
Subjects
Abdomen
Ascites
Bladder
Blood pressure
Blood tests
Body temperature
Case Report
Case reports
Catatonia
Catheters
Hallucinations
Heart rate
Hospitalization
Kinases
Medical imaging
Nervous system
Patients
Psychotropic drugs
Schizophrenia
Surgery
Urinary retention
Urine
Urology
Vital signs
Online AccessGet full text

Cover

More Information
Summary:Catatonia is a psychiatric emergency in schizophrenia that often leads to excessive activation of the sympathetic nervous system. Urinary retention in catatonia is often underestimated but has potentially detrimental consequences. Herein, we present the case of a woman in her 40s with schizophrenia treated for catatonia during a relapse. When treated as an inpatient, the patient suddenly complained of severe abdominal pain. Computed tomography revealed a spontaneous rupture of the posterior wall of the bladder, requiring emergency repair surgery in the urology department. The patient was readmitted to our hospital following surgery and ultimately discharged 1 month later. Bladder rupture is life-threatening, and delayed diagnosis and treatment can be fatal. This case report serves as a warning that psychiatrists should not overlook urinary retention in patients with catatonia and should consider bladder rupture in the differential diagnosis when these patients have abdominal pain.
Bibliography:Academic Editor: Erik Jönsson
ISSN:2090-682X
2090-6838
DOI:10.1155/2023/4277372