A Case Report on the Spontaneous Intraperitoneal Rupture of Urinary Bladder Presenting as Acute Intestinal Obstruction – Lessons Learnt
Clinical Practice
Vipin Venugopal Nair
Armed Forces Medical College, Pune, India
Pawan Sharma
Armed Forces Medical College, Pune, India
Swarup Prabhu
Armed Forces Medical College, Pune, India
Simarjit Singh Rehsi
Armed Forces Medical College, Pune, India
Published 2022-04-27
https://doi.org/10.15388/LietChirur.2022.21.54
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Keywords

bladder rupture
intestinal obstruction
non-gastrointestinal

How to Cite

1.
Nair VV, Sharma P, Prabhu S, Rehsi SS. A Case Report on the Spontaneous Intraperitoneal Rupture of Urinary Bladder Presenting as Acute Intestinal Obstruction – Lessons Learnt. LS [Internet]. 2022Apr.27 [cited 2022Aug.9];21(1):29-3. Available from: https://www.journals.vu.lt/lietuvos-chirurgija/article/view/25389

Abstract

Acute intestinal obstruction is a common surgical emergency. Most of the time, the cause lies in the gastrointestinal track. A 19 year old boy presented with clinical features of acute intestinal obstruction and radiological features suggestive of large bowel obstruction was taken up for surgery. During evaluation we found extravasation of urine inside pelvic cavity. Exploratory laparotomy showed intraperitoneal rent in dome of urinary bladder with dense adhesion of omentum kinking the transverse colon causing acute intestinal obstruction. We were surprised to see the resolution of obstruction with excision of omental band. The bladder was repaired and he was relieved of the problem. This article is a rare example of nongastrointestinal cause for intestinal obstruction. Most of these cases are seen by a general surgeon in an emergency setting. Hence this report is to enlighten the medical caregivers about the existence of this rare entity.

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