A Rare Cause of Acute Abdomen: Radiotherapy-induced Bladder Rupture

• Published in: Journal of emergency medicine case reports 2016-04, Vol.7 (2), p.40-42
• Main Authors: Yilmaz Baser, Hulya, Baser, Aykut, Zumrutbas, Ali Ersin, Erdur, Bulent
• Format: Article
• Language: English
• ISSN: 2149-9934; 2149-9934
• DOI: 10.5152/jaemcr.2015.1175

Introduction : Spontaneous intraperitoneal rupture of the bladder, which is rare, is a life-threatening condition. In emergency services, when patients present with lower quadrant abdominal pain and acute renal failure in the patient's laboratory findings consistent with curriculum vitae should be suspected if there is a history of radiotherapy. A cystography is the most accurate and precise method to make a diagnosis. The definitive solution is surgery, which depends on the condition of the patient. Case Report : A 52-years-old female patient with diffuse abdominal pain applied to our emergency department with complaints of high fever and hematuria. The fact that operated from cervical cancer medical history and undergone radiotherapy was learned. A physical examination of the abdomen and midline defects detected a urine-like liquid coming from the defect. Cystography was also performed because of being macroscopic hematuria to patient, and bladder rupture was detected. Conclusion : The aim of this phenomenon in our presentation. If patients who present to the emergency department with acute renal failure and peritonitis with a medical history of radiotherapy have a history of pelvic radiotherapy in the curriculum vitae with acute renal failure and peritonitis emergency signs, spontaneous rupture of the bladder is to emphasize that occur years after radiation therapy should be considered.