Conservative management is a reasonable option in intraperitoneal bladder rupture

To demonstrate that conservative management of intraperitoneal bladder rupture is a safe option. We report two cases of intraperitoneal bladder rupture, one spontaneous and another after urological manipulation. A 28-year-old man with acute abdomen after a heavy alcohol intake, and an 83-year-old wo...

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Bibliographic Details
Published inArchivos españoles de urología Vol. 67; no. 9; p. 788
Main Authors Moreno-Alarcón, Cristóbal, Rigabert-Montiel, Mariano, López-Cubillana, Pedro, Gómez-Gómez, Guillermo
Format Journal Article
LanguageEnglish
Published Spain 01.11.2014
Subjects
Adult
Aged, 80 and over
Conservative Treatment
Drainage
Female
Humans
Laparoscopy
Male
Rupture
Rupture, Spontaneous
Urinary Bladder Diseases
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Summary:To demonstrate that conservative management of intraperitoneal bladder rupture is a safe option. We report two cases of intraperitoneal bladder rupture, one spontaneous and another after urological manipulation. A 28-year-old man with acute abdomen after a heavy alcohol intake, and an 83-year-old woman with abdominal distention after a transurethral resection of the bladder. Both cases were treated with intraperitoneal fluid evacuation and maintenance of urinary catheter without incidents. Conservative management with drainage of ascites in combination with a radiological studies and optimal antibiotic treatment can prevent more invasive maneuvers such as exploratory laparotomy or laparoscopy.
ISSN:1576-8260