• Der Internist · Sep 2014

    Case Reports

    [Abdominal pain and ascites formation in a 72-year-old woman].

    • E Hartig, F Kronschnabl, and A Holstege.
    • Medizinische Klinik 1, Klinikum Landshut, Akademisches Lehrkrankenhaus der LMU, Robert-Koch-Str. 1, 84034, Landshut, Deutschland, elisabeth.hartig@klinikum-landshut.de.
    • Internist (Berl). 2014 Sep 1; 55 (9): 1089-90, 1092-3.

    AbstractA 72-year-old woman presented with abdominal pain after micturition. Abdominal ultrasound screening revealed ascites associated with acute renal failure. Paracentesis of the peritoneal fluid was performed. Biochemical analysis indicated a peritoneal transsudate and increased creatinine. Cystoscopy detected a rupture of the urinary bladder. Catheterization and antibiotic therapy resulted in an improvement of pain and closure of the hole in the urinary bladder wall. Several different disorders can induce a rupture of the urinary bladder. In this case, severe chronic constipation was the most probable causative disease.

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