Acute Diffuse Peritonitis Caused by Urinary Retention: A Rare Case of Gangrenous Cystitis. (6th June 2018)

• Record Type: Journal Article
• Authors: Kotoulas, Konstantinos; Georgellis, Chrysostomos; Kigitzi, Engkin; Liappis, Apostolos; Spounos, Marios; Tsalkidou, Vasiliki; Patris, Emmanouil
• Other Names: Fusco Ferdinando Academic Editor.
• Is Part Of: Case reports in urology. Volume 2018(2018)
• Publication Date: 2018-06-06
• Subjects: Urology -- Periodicals; Urology -- Case studies -- Periodicals; Genitourinary organs -- Diseases -- Periodicals; Urologic Diseases; Genitourinary organs -- Diseases; Urology; Periodicals; Case studies; Periodicals; 616.6005
• DOI: 10.1155/2018/4948375
• Languages: English
• ISSNs: 2090-696X

Abstract

Abstract : Gangrenous cystitis is an umbrella term encompassing conditions from necrosis of the mucosa and submucosa to necrosis of the entire bladder wall that can result in acute peritonitis. Timely diagnosis is challenging as the symptoms are nonspecific and resemble other conditions such as cystitis. We report a case of gangrenous cystitis in a 63-year-old woman who was diagnosed with peritonitis preoperatively by a CT scan of the abdomen. Overdistension of the bladder due to chronic urinary retention was the primary cause. The patient underwent partial cystectomy, excising nonviable detrusor with preservation of the trigone and ureters, but conclusively succumbed. Etiopathology, symptoms, and treatment of this rare disease are also considered.