Spontaneous Bladder Rupture in a Catatonic Schizophrenia Patient
Catatonia is a psychiatric emergency in schizophrenia that often leads to excessive activation of the sympathetic nervous system. Urinary retention in catatonia is often underestimated but has potentially detrimental consequences. Herein, we present the case of a woman in her 40s with schizophrenia...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Psychiatry |
| Online Access: | http://dx.doi.org/10.1155/2023/4277372 |
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| _version_ | 1832546615495229440 |
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| author | Megumi Miyakoshi Takayuki Arai Shin Kurose Masataka Kaji Jun Nakane Mitsumoto Onaya Akihiro Koreki |
| author_facet | Megumi Miyakoshi Takayuki Arai Shin Kurose Masataka Kaji Jun Nakane Mitsumoto Onaya Akihiro Koreki |
| author_sort | Megumi Miyakoshi |
| collection | DOAJ |
| description | Catatonia is a psychiatric emergency in schizophrenia that often leads to excessive activation of the sympathetic nervous system. Urinary retention in catatonia is often underestimated but has potentially detrimental consequences. Herein, we present the case of a woman in her 40s with schizophrenia treated for catatonia during a relapse. When treated as an inpatient, the patient suddenly complained of severe abdominal pain. Computed tomography revealed a spontaneous rupture of the posterior wall of the bladder, requiring emergency repair surgery in the urology department. The patient was readmitted to our hospital following surgery and ultimately discharged 1 month later. Bladder rupture is life-threatening, and delayed diagnosis and treatment can be fatal. This case report serves as a warning that psychiatrists should not overlook urinary retention in patients with catatonia and should consider bladder rupture in the differential diagnosis when these patients have abdominal pain. |
| format | Article |
| id | doaj-art-9b8542ff69974253bb8278de6728ca0c |
| institution | Kabale University |
| issn | 2090-6838 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Psychiatry |
| spelling | doaj-art-9b8542ff69974253bb8278de6728ca0c2025-02-03T06:47:46ZengWileyCase Reports in Psychiatry2090-68382023-01-01202310.1155/2023/4277372Spontaneous Bladder Rupture in a Catatonic Schizophrenia PatientMegumi Miyakoshi0Takayuki Arai1Shin Kurose2Masataka Kaji3Jun Nakane4Mitsumoto Onaya5Akihiro Koreki6Department of PsychiatryDepartment of UrologyDepartment of PsychiatryDepartment of PsychiatryDepartment of PsychiatryDepartment of PsychiatryDepartment of PsychiatryCatatonia is a psychiatric emergency in schizophrenia that often leads to excessive activation of the sympathetic nervous system. Urinary retention in catatonia is often underestimated but has potentially detrimental consequences. Herein, we present the case of a woman in her 40s with schizophrenia treated for catatonia during a relapse. When treated as an inpatient, the patient suddenly complained of severe abdominal pain. Computed tomography revealed a spontaneous rupture of the posterior wall of the bladder, requiring emergency repair surgery in the urology department. The patient was readmitted to our hospital following surgery and ultimately discharged 1 month later. Bladder rupture is life-threatening, and delayed diagnosis and treatment can be fatal. This case report serves as a warning that psychiatrists should not overlook urinary retention in patients with catatonia and should consider bladder rupture in the differential diagnosis when these patients have abdominal pain.http://dx.doi.org/10.1155/2023/4277372 |
| spellingShingle | Megumi Miyakoshi Takayuki Arai Shin Kurose Masataka Kaji Jun Nakane Mitsumoto Onaya Akihiro Koreki Spontaneous Bladder Rupture in a Catatonic Schizophrenia Patient Case Reports in Psychiatry |
| title | Spontaneous Bladder Rupture in a Catatonic Schizophrenia Patient |
| title_full | Spontaneous Bladder Rupture in a Catatonic Schizophrenia Patient |
| title_fullStr | Spontaneous Bladder Rupture in a Catatonic Schizophrenia Patient |
| title_full_unstemmed | Spontaneous Bladder Rupture in a Catatonic Schizophrenia Patient |
| title_short | Spontaneous Bladder Rupture in a Catatonic Schizophrenia Patient |
| title_sort | spontaneous bladder rupture in a catatonic schizophrenia patient |
| url | http://dx.doi.org/10.1155/2023/4277372 |
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