A Rare Case of Recurrent Generalized Peritonitis Caused by Spontaneous Urinary Bladder Rupture after Radiotherapy: A Case Report and Literature Review

Since generalized peritonitis is a fatal disease, accurate diagnosis and treatment are important. In this paper, we report a case of recurrent generalized peritonitis associated with spontaneous urinary bladder rupture (SBR). A 65 year old woman, who underwent radiotherapy 21 years prior, was diagno...

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Autores principales: Yusuke Watanabe, Shun Yamazaki, Hanako Yokoyama, Shunta Yakubo, Akihiko Osaki, Kenichi Takaku, Munehiro Sato, Nobuo Waguri, Shuji Terai
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:70e26331096149f49f1a21e33bccfab42021-11-25T18:19:20ZA Rare Case of Recurrent Generalized Peritonitis Caused by Spontaneous Urinary Bladder Rupture after Radiotherapy: A Case Report and Literature Review10.3390/medicines81100672305-6320https://doaj.org/article/70e26331096149f49f1a21e33bccfab42021-11-01T00:00:00Zhttps://www.mdpi.com/2305-6320/8/11/67https://doaj.org/toc/2305-6320Since generalized peritonitis is a fatal disease, accurate diagnosis and treatment are important. In this paper, we report a case of recurrent generalized peritonitis associated with spontaneous urinary bladder rupture (SBR). A 65 year old woman, who underwent radiotherapy 21 years prior, was diagnosed with generalized peritonitis. Although the cause of the generalized peritonitis could not be identified, the patient recovered with conservative treatment in short period. However, recurrent episodes of generalized peritonitis occurred four times. We diagnosed the patient with urinary ascites due to SBR, based on a history of radiotherapy and dysuria. No recurrence of generalized peritonitis had occurred after accurate diagnosis and treatment with long-term bladder catheter placement. Since SBR often occurs as a late complication after radiotherapy, it is difficult to diagnose SBR, which leads to delayed treatment. This case and literature review of similar cases suggest that the information of the following might be helpful in the diagnosis of SBR: (i) history of recurrent generalized peritonitis, (ii) pseudo-renal failure, (iii) history of radiotherapy, (iv) dysuria, and (v) increase or decrease of ascites in a short period. It is important to list SBR in the differential diagnosis by knowing the disease and understanding its clinical features. This case and literature review will serve as a reference for future practices.Yusuke WatanabeShun YamazakiHanako YokoyamaShunta YakuboAkihiko OsakiKenichi TakakuMunehiro SatoNobuo WaguriShuji TeraiMDPI AGarticlegeneralized peritonitisurinary ascitesspontaneous urinary bladder ruptureradiotherapyMedicineRENMedicines, Vol 8, Iss 67, p 67 (2021)
institution DOAJ
collection DOAJ
language EN
topic generalized peritonitis
urinary ascites
spontaneous urinary bladder rupture
radiotherapy
Medicine
R
spellingShingle generalized peritonitis
urinary ascites
spontaneous urinary bladder rupture
radiotherapy
Medicine
R
Yusuke Watanabe
Shun Yamazaki
Hanako Yokoyama
Shunta Yakubo
Akihiko Osaki
Kenichi Takaku
Munehiro Sato
Nobuo Waguri
Shuji Terai
A Rare Case of Recurrent Generalized Peritonitis Caused by Spontaneous Urinary Bladder Rupture after Radiotherapy: A Case Report and Literature Review
description Since generalized peritonitis is a fatal disease, accurate diagnosis and treatment are important. In this paper, we report a case of recurrent generalized peritonitis associated with spontaneous urinary bladder rupture (SBR). A 65 year old woman, who underwent radiotherapy 21 years prior, was diagnosed with generalized peritonitis. Although the cause of the generalized peritonitis could not be identified, the patient recovered with conservative treatment in short period. However, recurrent episodes of generalized peritonitis occurred four times. We diagnosed the patient with urinary ascites due to SBR, based on a history of radiotherapy and dysuria. No recurrence of generalized peritonitis had occurred after accurate diagnosis and treatment with long-term bladder catheter placement. Since SBR often occurs as a late complication after radiotherapy, it is difficult to diagnose SBR, which leads to delayed treatment. This case and literature review of similar cases suggest that the information of the following might be helpful in the diagnosis of SBR: (i) history of recurrent generalized peritonitis, (ii) pseudo-renal failure, (iii) history of radiotherapy, (iv) dysuria, and (v) increase or decrease of ascites in a short period. It is important to list SBR in the differential diagnosis by knowing the disease and understanding its clinical features. This case and literature review will serve as a reference for future practices.
format article
author Yusuke Watanabe
Shun Yamazaki
Hanako Yokoyama
Shunta Yakubo
Akihiko Osaki
Kenichi Takaku
Munehiro Sato
Nobuo Waguri
Shuji Terai
author_facet Yusuke Watanabe
Shun Yamazaki
Hanako Yokoyama
Shunta Yakubo
Akihiko Osaki
Kenichi Takaku
Munehiro Sato
Nobuo Waguri
Shuji Terai
author_sort Yusuke Watanabe
title A Rare Case of Recurrent Generalized Peritonitis Caused by Spontaneous Urinary Bladder Rupture after Radiotherapy: A Case Report and Literature Review
title_short A Rare Case of Recurrent Generalized Peritonitis Caused by Spontaneous Urinary Bladder Rupture after Radiotherapy: A Case Report and Literature Review
title_full A Rare Case of Recurrent Generalized Peritonitis Caused by Spontaneous Urinary Bladder Rupture after Radiotherapy: A Case Report and Literature Review
title_fullStr A Rare Case of Recurrent Generalized Peritonitis Caused by Spontaneous Urinary Bladder Rupture after Radiotherapy: A Case Report and Literature Review
title_full_unstemmed A Rare Case of Recurrent Generalized Peritonitis Caused by Spontaneous Urinary Bladder Rupture after Radiotherapy: A Case Report and Literature Review
title_sort rare case of recurrent generalized peritonitis caused by spontaneous urinary bladder rupture after radiotherapy: a case report and literature review
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/70e26331096149f49f1a21e33bccfab4
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