Acute Diffuse Peritonitis Caused by Urinary Retention: A Rare Case of Gangrenous Cystitis

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 re...

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Main Authors: Konstantinos Kotoulas, Chrysostomos Georgellis, Engkin Kigitzi, Apostolos Liappis, Marios Spounos, Vasiliki Tsalkidou, Emmanouil Patris
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2018/4948375
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author Konstantinos Kotoulas
Chrysostomos Georgellis
Engkin Kigitzi
Apostolos Liappis
Marios Spounos
Vasiliki Tsalkidou
Emmanouil Patris
author_facet Konstantinos Kotoulas
Chrysostomos Georgellis
Engkin Kigitzi
Apostolos Liappis
Marios Spounos
Vasiliki Tsalkidou
Emmanouil Patris
author_sort Konstantinos Kotoulas
collection DOAJ
description 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.
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issn 2090-696X
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language English
publishDate 2018-01-01
publisher Wiley
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series Case Reports in Urology
spelling doaj-art-53c3b4c30ed545f899cf711dedf614b22025-08-20T02:05:24ZengWileyCase Reports in Urology2090-696X2090-69782018-01-01201810.1155/2018/49483754948375Acute Diffuse Peritonitis Caused by Urinary Retention: A Rare Case of Gangrenous CystitisKonstantinos Kotoulas0Chrysostomos Georgellis1Engkin Kigitzi2Apostolos Liappis3Marios Spounos4Vasiliki Tsalkidou5Emmanouil Patris6Department of Urology, University Hospital of Alexandroupolis, 681 00 Alexandroupolis, GreeceDepartment of Urology, University Hospital of Alexandroupolis, 681 00 Alexandroupolis, GreeceDepartment of Urology, University Hospital of Alexandroupolis, 681 00 Alexandroupolis, GreeceDepartment of Urology, University Hospital of Alexandroupolis, 681 00 Alexandroupolis, GreeceDepartment of Urology, University Hospital of Alexandroupolis, 681 00 Alexandroupolis, GreeceDepartment of Urology, University Hospital of Alexandroupolis, 681 00 Alexandroupolis, GreeceDepartment of Urology, University Hospital of Alexandroupolis, 681 00 Alexandroupolis, GreeceGangrenous 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.http://dx.doi.org/10.1155/2018/4948375
spellingShingle Konstantinos Kotoulas
Chrysostomos Georgellis
Engkin Kigitzi
Apostolos Liappis
Marios Spounos
Vasiliki Tsalkidou
Emmanouil Patris
Acute Diffuse Peritonitis Caused by Urinary Retention: A Rare Case of Gangrenous Cystitis
Case Reports in Urology
title Acute Diffuse Peritonitis Caused by Urinary Retention: A Rare Case of Gangrenous Cystitis
title_full Acute Diffuse Peritonitis Caused by Urinary Retention: A Rare Case of Gangrenous Cystitis
title_fullStr Acute Diffuse Peritonitis Caused by Urinary Retention: A Rare Case of Gangrenous Cystitis
title_full_unstemmed Acute Diffuse Peritonitis Caused by Urinary Retention: A Rare Case of Gangrenous Cystitis
title_short Acute Diffuse Peritonitis Caused by Urinary Retention: A Rare Case of Gangrenous Cystitis
title_sort acute diffuse peritonitis caused by urinary retention a rare case of gangrenous cystitis
url http://dx.doi.org/10.1155/2018/4948375
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