Squamous cell carcinoma of the bladder presented with spontaneous intraperitoneal bladder rupture: A case report

•Squamous cell carcinoma of the bladder can present as intraperitoneal rupture.•Management strategies of bladder SCC in general consist of radiotherapy, radical cystectomy and chemotherapy.•The most common cause of death of bladder SCC is locoregional recurrence. Spontaneous intraperitoneal bladder...

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Veröffentlicht in:International journal of surgery case reports 2018-01, Vol.48, p.61-64
Hauptverfasser: Al Edwan, Ghazi M., Mansi, Hammam H., Atta, Omar Nabeeh M., Shaban, Mazen M.
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Sprache:eng
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Zusammenfassung:•Squamous cell carcinoma of the bladder can present as intraperitoneal rupture.•Management strategies of bladder SCC in general consist of radiotherapy, radical cystectomy and chemotherapy.•The most common cause of death of bladder SCC is locoregional recurrence. Spontaneous intraperitoneal bladder rupture can present with symptoms of acute abdomen. The associated high mortality rate is attributed to the delay in diagnosis, and the possibility of the presence of a bladder carcinoma contributes to high mortality as well. We present a case of spontaneous intraperitoneal bladder rupture associated with squamous cell carcinoma managed with partial cystectomy. The incidence of this condition is (1:126,000) but with high mortality rate. It occurs more commonly in male [1]. It can be associated with carcinoma, chronic cystitis, chronic catheterization, bladder outflow obstruction and others. Standard management includes timely diagnosis of this condition, followed by bladder repair in the form of primary closure, partial cystectomy or radical cystectomy. However in the presence of carcinoma the prognosis is poor. high index of clinical suspicion and the timely diagnosis can lead to a more favorable outcome.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2018.05.002