Nontraumatic urinary bladder rupture presenting as renal pseudo-failure and ascites

Abstract A 24-year-old man, with past medical history significant only for nocturnal enuresis until the age of 12 years, presented to the emergency department with acute abdominal pain after an episode of difficulty with micturition in the middle of the night. On presentation, physical examination w...

Full description

Saved in:
Bibliographic Details
Published inRadiology case reports Vol. 12; no. 2; pp. 304 - 307
Main Authors Mark, Andrew, MD, Meister, Moshe, MD, Opara, Benjamin, MD, Chow, Robert, MD
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier 01.06.2017
Subjects
Ascites
Bladder rupture
Case Report
Radiology
Renal failure
Urology
Bladder rupture
Ascites
Urology
Renal failure
Online AccessGet full text

Cover

More Information
Summary:Abstract A 24-year-old man, with past medical history significant only for nocturnal enuresis until the age of 12 years, presented to the emergency department with acute abdominal pain after an episode of difficulty with micturition in the middle of the night. On presentation, physical examination was suggestive of ascites and laboratories revealed an elevated serum creatinine of 1.88 mg/dL. He was subsequently found to have a ruptured bladder, without any inciting trauma, which required surgical repair. His only surgical history is an unknown, apparently urologic, surgery when he was 11-12 years old. The patient's unique presentation prompts discussion of bladder rupture and its manifestations, the role of clinical information in informing imaging protocol, and the importance of sagittal images in identifying pathology.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2017.03.005