Spontaneous Rupture of Urinary Bladder with Vesicocutaneous Fistula in a HIV Positive Female: Case Report
Correspondence Address :
Dr. Kamlesh Hawaldar Singh,
Ward 36, Department of Urology, New Main Building, Seth GSMC and KEM Hospital Parel, Mumbai, Maharashtra, India.
E-mail: dockamlesh4047@gmail.com
Spontaneous rupture of urinary bladder is a rare presentation with high morbidity and mortality. Symptoms resemble acute peritonitis in most cases. Rarely, urine circumvents via vesicocutaneous fistula. A 60-year-old bed ridden female, seropositive for Human Immunodeficiency Virus (HIV), presented to the emergency department with complaints of suprapubic ulcer and urine leak from the ulcer site for 15 days. On clinical examination, there was Spontaneous Rupture of Bladder (SRUB) secondary to chronic retention of urine was found. Computed Tomography (CT) cystogram revealed vesicocutaneous fistula. She was managed using foley’s catheter insertion. Percutaneous Nephrostomy (PCN) insertion failed due to technical reasons. She soon succumbed due to Acute Kidney Injury (AKI), respiratory acidosis. This case is studied because of its rarity and importance of early diagnosis and management. Till date, no case of SRUB depicting clinical presentation in HIV patient has been reported.
Bladder rupture, Cystogram, Immunocompromised, Percutaneous nephrostomy
DOI: 10.7860/JCDR/2021/50324.15723
Date of Submission: May 12, 2021
Date of Peer Review: Aug 04, 2021
Date of Acceptance: Oct 27, 2021
Date of Publishing: Dec 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
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• Plagiarism X-checker: May 14, 2021
• Manual Googling: Oct 27, 2021
• iThenticate Software: Nov 22, 2021 (5%)
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