Spontaneous rupture of a bladder diverticulum with delayed open surgical repair

作者：David Ostrowski, Brian D. Cortese, Raju Chelluri, Robert C. Kovell, Alan J. Wein, Daniel J. Lee · 发表于：Urology Case Reports · 年份：2022 · DOI：10.1016/j.eucr.2022.102165 · 被引用次数：3 · 研究领域：Urological Disorders and Treatments、Urinary and Genital Oncology Studies、Bladder and Urothelial Cancer Treatments

Spontaneous rupture of a bladder diverticulum is a rare entity typically associated with tissue weakness, bladder outlet obstruction, increased intra-abdominal pressure, or inflammation. Diagnosis is most often achieved via cystogram with a reported role for pelvic ultrasound. Extraperitoneal ruptures are typically treated with catheterization and antibiosis while intraperitoneal ruptures are most frequently treated with immediate surgical intervention. In this case, an adult female presented with an intraperitoneal rupture with no clear inciting event with diagnosis confirmed by pelvic transvaginal ultrasound following a non-diagnostic cystogram. The patient was treated successfully with delayed open surgical repair.