A Case of Spontaneous Bladder Rupture Mimicking Diabetic Nephropathy in a Patient with Type 2 Diabetes Mellitus.
10.7180/kmj.2012.27.2.161
- Author:
Hae Kyung YANG
1
;
Na Young KIM
;
Soo Jeong YEOM
;
Ji Hyun KIM
;
Jung Min LEE
;
Sang Ah CHANG
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University, Seoul, Korea. sangah@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Spontaneous rupture;
Type 2 diabetes mellitus;
Urinary bladder
- MeSH:
Abscess;
Acute Kidney Injury;
Alcohol Drinking;
Ascites;
Calculi;
Catheters;
Diabetes Mellitus, Type 2;
Diabetic Nephropathies;
Diverticulum;
Emergencies;
Female;
Humans;
Incidence;
Rupture;
Rupture, Spontaneous;
Urinary Bladder;
Urinary Bladder, Neurogenic
- From:Kosin Medical Journal
2012;27(2):161-165
- CountryRepublic of Korea
- Language:English
-
Abstract:
Spontaneous rupture of the urinary bladder is a rare clinical entity, with the incidence reported as 1 in 126,000 hospital admissions. It is often associated with malignancy, inflammatory lesions, irradiation, calculus, diverticulum, binge alcohol drinking, continuous bladder irrigation, and neurogenic bladder. In rare instances, bladder rupture occurs without obvious causes. This rare clinical condition is difficult to diagnose because of vague symptoms. High index of suspicion is needed as the mortality rate is high if untreated. A 37-year-old woman with uncontrolled type 2 diabetes, was admitted to the emergency room complaining of progressive abdominal distension and discomfort. She had a past history of tubo-ovarian and bladder abscess, and had undergone multiple surgical operations. From ascites fluid study, she was diagnosed as spontaneous bladder rupture. A transurethral catheter was inserted and the symptoms and signs resolved. Bladder rupture, mimicking acute kidney injury of diabetic nephropathy was disclosed without surgery.
