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Case Reports in Urology
Volume 2013 (2013), Article ID 986362, 2 pages
http://dx.doi.org/10.1155/2013/986362
Case Report

Spontaneous Bladder Perforation in an Infant Neurogenic Bladder: Laparoscopic Management

1Pediatric Urology Division, University Hospital “12 de Octubre”, Complutense University, Avda Andalucia km 5,400, 28041 Madrid, Spain
2Urology Department, University Hospital “12 de Octubre”, Complutense University, Avda Andalucia km 5,400, 28041 Madrid, Spain
3Department of Pediatric Surgery, University Hospital “12 de Octubre”, Complutense University, Avda Andalucia km 5,400, 28041 Madrid, Spain

Received 22 February 2013; Accepted 20 March 2013

Academic Editors: S.-S. Chen, F. Ramezanzadeh, and T. C. S. Woo

Copyright © 2013 Daniel Cabezalí Barbancho et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Spontaneous bladder perforation is an uncommon event in childhood. It is usually associated with bladder augmentation. We are presenting a case of bladder rupture in an infant with neurogenic bladder without prior bladder surgery. Three days after lipomyelomeningocele excision the patient showed signs and symptoms of acute abdomen. The ultrasound exploration revealed significant amount of intraperitoneal free fluid and therefore a laparoscopic exploration was performed. A posterior bladder rupture was diagnosed and repaired laparoscopically. Currently, being 3 years old, she keeps successfully dry with clean intermittent catheterization. Neurogenic bladder voiding function can change at any time of its evolution and lead to complications. Early diagnosis of spontaneous bladder rupture is of paramount importance, so it is essential to think about it in the differential diagnosis of acute abdomen.