Kosin Med J.  2012 Dec;27(2):161-165. 10.7180/kmj.2012.27.2.161.

A Case of Spontaneous Bladder Rupture Mimicking Diabetic Nephropathy in a Patient with Type 2 Diabetes Mellitus

Affiliations
  • 1Department of Internal Medicine, College of Medicine, The Catholic University, Seoul, Korea. sangah@catholic.ac.kr

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.

Keyword

Spontaneous rupture; Type 2 diabetes mellitus; Urinary bladder

MeSH Terms

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
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