AI Summary & Key Takeaways
AI InsightIn this paper, we aimed to share our experience by presenting a paraplegic patient, who applied with clinical symptoms of sepsis, was followed-up at the intensive care unit, and was diagnosed with spontaneous urinary bladder perforation at laparotomy.
📌 3 Key Takeaways
Abstract
Spontaneous bladder rupture is a rarely seen clinical condition and usually occurs because of weakening of the bladder wall after urinary retention, urinary tract infections, increased intra-bladder pressure, and alcohol intoxication. Less frequently, perforation may encounter due to foley catheter erosion, inflammation (eosinophilic cystitis, interstitial cystitis), giant bladder stones, intra-arterial chemotherapy or atherosclerotic embolism. Cases due to neurogenic bladder are also involved in the literature. In this paper, we aimed to share our experience by presenting a paraplegic patient, who applied with clinical symptoms of sepsis, was followed-up at the intensive care unit, and was diagnosed with spontaneous urinary bladder perforation at laparotomy.
Özet
Spontan mesane rüptürü nadir görülen klinik bir durumdur ve genellikle üriner retansiyon, üriner sistem enfeksiyonları, mesane içi basıncı arttıran sebepler, alkol intoksikasyonu sonrasında mesane duvarındaki zayıflama sebebiyle oluşurlar. Daha nadir olarak foley kateter erozyonu, inflamasyon (eozinofilik sistit, interstisyel sistit), dev mesane taşları, intraarteriyel kemoterapi ya da aterosklerotik emboli sonrasında perforasyon görülebilir. Nörojenik mesaneye bağlı olgularda literatürde yer almaktadır. Bu yazımızda sepsis kliniği ile başvuran, yoğun bakıma alınarak takip edilen ve yapılan laparotomide spontan mesane perforasyonu tanısı alan, paraplejik hastayı sunmak ve deneyimimizi paylaşmak istedik.