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KMID : 0857020120270020161
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Kosin Medical Journal
2012 Volume.27 No. 2 p.161 ~ p.165
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A Case of Spontaneous Bladder Rupture Mimicking Diabetic Nephropathy in a Patient with Type 2 Diabetes Mellitus
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Yang Hae-Kyung
Kim Na-Young
Yeom Soo-Jeong
Kim Ji-Hyun
Lee Jung-Min
Chang Sang-Ah
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Abstract
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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.
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KEYWORD
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Spontaneous rupture, Type 2 diabetes mellitus, Urinary bladder
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