Spontaneous bladder dome rupture, a rare association with extraperitoneal leakage

• Main Authors: Mustfar, Siti Nor Suzeana, Halim Lim, Aidi Aswadi
• Format: Conference or Workshop Item
• Language: English; English
• Published: 2021
• Subjects: R Medicine (General)
• Online Access: http://irep.iium.edu.my/95034/1/95034_Spontaneous%20bladder%20dome%20rupture_poster.pdf; http://irep.iium.edu.my/95034/2/95034_Spontaneous%20bladder%20dome%20rupture_cert.pdf; http://irep.iium.edu.my/95034/

SPONTANEOUS BLADDER DOME RUPTURE, A RARE ASSOCIATION WITH EXTRAPERITONEAL LEAKAGE. Siti Nor Suzeana Mustfar*1 ; Aidi Aswadi Halim Lim1 1Department of Radiology, International Islamic University Malaysia INTRODUCTION: A 67 year old man with known history of bronchial asthma, hypertension, cor pulmonale and dyslipidaemia presented with 2 weeks history of low urinary tract symptoms for 2 weeks associated with abdominal pain, lethargy and constipation. Patient then noted acute urinary retention for 1 day and worsening of abdominal pain prior to his presentation to the emergency department. REPORT: On examination he was tender on the right iliac fossa region with guarding. His vitals remained stable. His renal function was bad with urea of 44.7 and creatinine of 886 with no previous results to compare as this is his first presentation to our centre. He then had an ultrasound of the abdomen which revealed fluid at the right iliac fossa region. No renal calculus or ureteric calculus. Subsequently, he underwent CT Abdomen and Cystogram to rule out collection. The CT showed active contrast leakage from the dome of the urinary bladder into the extraperitoneal region as well as at the right pelviureteric junction region. Small defect at the dome of urinary bladder and the pelviureteric junction are identified. Retrograde pyelogram also confirm similar findings. CONCLUSION: This is a rare case of spontaneous bladder and ureteric rupture likely secondary to urinary tract infection. Bladder dome rupture usually results in intraperitoneal leakage rather than extraperitoneal leakage as in this case of our patient.