We present a case of spontaneous extra-peritoneal rupture of an acquired diverticulum an elderly male with symptoms of bladder outlet obstruction who presented in emergency with acute abdomen.
Outcome:
The acute phase was managed conservatively with bladder drainage and intravenous antibiotics. He recently underwent Transurethral Resection of Prostate. He is asymptomatic on follow-up.
Conclusions:
Acquired bladder diverticulum are rare in adults and are mostly seen in patients with high pressure bladder due to bladder outlet obstruction. Atraumatic extraperitoneal ruptures of diverticulum are uncommonly reported.
KodamaKTakaseYSaitoK.Extraperitoneal rupture of a bladder diverticulum and the role of multidetector computed tomography cystography. Urol Case Rep2016; 9: 30–32.
2.
OhSBAhnJH.Successful conservative management of a spontaneous intraperitoneal rupture of bladder diverticulum in a critical patient: a case report. A CARE-compliant article. Medicine (Baltimore)2020; 99(7): e19262.
3.
BrittoMMYaoHHICampbellN.Delayed diagnosis of spontaneous rupture of a congenital bladder diverticulum as a rare cause of an acute abdomen. ANZ J Surg2019; 89: E385–E387.
4.
LeahyOGrummetJ.Splash! The spontaneous rupture of a bladder diverticulum: a rare cause of an acute abdomen. ANZ J Surg2013; 83: 792–793.
5.
ItohNKounamiT.Spontaneous rupture of a bladder diverticulum: ultrasonographic diagnosis. J Urol1994; 152: 1206–1207.
6.
SungCWChangCCChenSY, et al. Spontaneous rupture of urinary bladder diverticulum with pseudo-acute renal failure. Intern Emerg Med2018; 13: 619–622.
7.
RaghavendranMKumarKGVenugopalA, et al. Spontaneous bladder rupture masquerading as pseudo-diverticulum. Urol Case Rep2017; 12: 73–75.
8.
JorionJLMichelM.Spontaneous rupture of bladder diverticula in a girl with Ehlers-Danlos syndrome. J Pediatr Surg1999; 34: 483–484.
9.
Moreno-AlarcónCRigabert-MontielMLópez-CubillanaP, et al. Conservative management is a reasonable option in intraperitoneal bladder rupture. Arch Esp Urol2014; 67: 788–791.
10.
KeelerLLSantGR.Spontaneous rupture of a bladder diverticulum. J Urol1990; 143: 349–351.
