Spontaneous atraumatic rupture of the urinary bladder following alcohol intoxication: A rare case report

Key Clinical Message Consideration of spontaneous urinary bladder rupture in the differential diagnosis of acute abdominal pain for alcohol‐abusing patients is crucial for ensuring timely surgical intervention and preventing life‐threatening complications due to its high associated morbidity and mor...

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Main Authors: Shritik Devkota, Sugat Adhikari, Manbir Singh, Samiksha Lamichhane, Dipendra Adhikari, Bishal Koirala, Harsha Bhola
Format: Article
Language:English
Published: Wiley 2024-09-01
Series:Clinical Case Reports
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Online Access:https://doi.org/10.1002/ccr3.9395
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author Shritik Devkota
Sugat Adhikari
Manbir Singh
Samiksha Lamichhane
Dipendra Adhikari
Bishal Koirala
Harsha Bhola
author_facet Shritik Devkota
Sugat Adhikari
Manbir Singh
Samiksha Lamichhane
Dipendra Adhikari
Bishal Koirala
Harsha Bhola
author_sort Shritik Devkota
collection DOAJ
description Key Clinical Message Consideration of spontaneous urinary bladder rupture in the differential diagnosis of acute abdominal pain for alcohol‐abusing patients is crucial for ensuring timely surgical intervention and preventing life‐threatening complications due to its high associated morbidity and mortality. Abstract Spontaneous rupture of the urinary bladder (SRUB) is a rare but critical urological emergency, typically associated with malignancy, neurogenic dysfunction, or previous radiation therapy. Here, we present a unique case of SRUB in a 65‐year‐old chronic alcoholic male who presented with acute lower abdominal pain following heavy alcohol consumption. Initial evaluations revealed leukocytosis, elevated serum creatinine levels, and ultrasound findings suggestive of bladder rupture. Computed tomography confirmed the diagnosis, indicating an intraperitoneal rupture with associated hematoma. Immediate surgical repair was performed, leading to a successful outcome. This case underscores the importance of considering SRUB in patients with acute abdominal pain, especially in the context of alcohol intoxication, and highlights the diagnostic and therapeutic challenges associated with this condition. Early recognition and intervention are crucial to prevent life‐threatening complications associated with urinary bladder rupture.
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institution Kabale University
issn 2050-0904
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publishDate 2024-09-01
publisher Wiley
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series Clinical Case Reports
spelling doaj-art-3c8bce5a1814476bbc8d00bb8f9315a92024-12-12T10:13:46ZengWileyClinical Case Reports2050-09042024-09-01129n/an/a10.1002/ccr3.9395Spontaneous atraumatic rupture of the urinary bladder following alcohol intoxication: A rare case reportShritik Devkota0Sugat Adhikari1Manbir Singh2Samiksha Lamichhane3Dipendra Adhikari4Bishal Koirala5Harsha Bhola6Department of Radiodiagnosis and Imaging Anil Baghi Hospital Punjab IndiaShreegaun Primary Health Care Center Dang NepalDepartment of Urology Anil Baghi Hospital Punjab IndiaDepartment of Radiodiagnosis and Imaging B. P. Koirala Institute of Health Sciences Dharan NepalTuberculosis treatment center, Gandaki Province Pokhara NepalShreegaun Primary Health Care Center Dang NepalDepartment of General Surgery Anil Baghi Hospital Punjab IndiaKey Clinical Message Consideration of spontaneous urinary bladder rupture in the differential diagnosis of acute abdominal pain for alcohol‐abusing patients is crucial for ensuring timely surgical intervention and preventing life‐threatening complications due to its high associated morbidity and mortality. Abstract Spontaneous rupture of the urinary bladder (SRUB) is a rare but critical urological emergency, typically associated with malignancy, neurogenic dysfunction, or previous radiation therapy. Here, we present a unique case of SRUB in a 65‐year‐old chronic alcoholic male who presented with acute lower abdominal pain following heavy alcohol consumption. Initial evaluations revealed leukocytosis, elevated serum creatinine levels, and ultrasound findings suggestive of bladder rupture. Computed tomography confirmed the diagnosis, indicating an intraperitoneal rupture with associated hematoma. Immediate surgical repair was performed, leading to a successful outcome. This case underscores the importance of considering SRUB in patients with acute abdominal pain, especially in the context of alcohol intoxication, and highlights the diagnostic and therapeutic challenges associated with this condition. Early recognition and intervention are crucial to prevent life‐threatening complications associated with urinary bladder rupture.https://doi.org/10.1002/ccr3.9395alcohol intoxicationchronic alcoholicintraperitoneal rupturespontaneous rupture of the urinary bladder
spellingShingle Shritik Devkota
Sugat Adhikari
Manbir Singh
Samiksha Lamichhane
Dipendra Adhikari
Bishal Koirala
Harsha Bhola
Spontaneous atraumatic rupture of the urinary bladder following alcohol intoxication: A rare case report
Clinical Case Reports
alcohol intoxication
chronic alcoholic
intraperitoneal rupture
spontaneous rupture of the urinary bladder
title Spontaneous atraumatic rupture of the urinary bladder following alcohol intoxication: A rare case report
title_full Spontaneous atraumatic rupture of the urinary bladder following alcohol intoxication: A rare case report
title_fullStr Spontaneous atraumatic rupture of the urinary bladder following alcohol intoxication: A rare case report
title_full_unstemmed Spontaneous atraumatic rupture of the urinary bladder following alcohol intoxication: A rare case report
title_short Spontaneous atraumatic rupture of the urinary bladder following alcohol intoxication: A rare case report
title_sort spontaneous atraumatic rupture of the urinary bladder following alcohol intoxication a rare case report
topic alcohol intoxication
chronic alcoholic
intraperitoneal rupture
spontaneous rupture of the urinary bladder
url https://doi.org/10.1002/ccr3.9395
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AT samikshalamichhane spontaneousatraumaticruptureoftheurinarybladderfollowingalcoholintoxicationararecasereport
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