Bladder rupture 11 years after partial cystectomy for bladder endometriosis: A case report and review of literature

Haruna Tokuyama, Hidetaro Tokuyama, Yosuke Tarumi, Saiko Yamauchi, Hiroyuki Okimura, Hisashi Kataoka, Tetsuya Kokabu, Kaori Yoriki, Fumitake Ito, Izumi Kusuki, Taisuke Mori
Case reports in women's health · 2024 · vol. 44 , pp. e00657 · doi:10.1016/j.crwh.2024.e00657 · PMID:39502433 · PMC11535893 · W4403459477
case-report OA: gold CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a patient who experienced bladder rupture and pseudo-renal failure 11 years after partial cystectomy for bladder endometriosis, highlighting the need for consideration of this complication even in the long postoperative period.

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Abstract

Partial cystectomy is often performed to treat bladder endometriosis. However, there are no reports of bladder rupture more than 10 years after cystectomy. A 55-year-old woman with a history of laparoscopic bilateral salpingo-oophorectomy and partial cystectomy for bladder endometriosis at the age of 44 years presented with worsening dysuria, decreased urine output, and malaise for over a week. Blood tests revealed elevated creatinine and BUN levels indicating renal failure. Transvaginal ultrasonography and computed tomography revealed large amounts of peritoneal fluid. Abdominocentesis was performed, and peritoneal fluid analysis confirmed the presence of urinary ascites, which was indicative of bladder rupture. Retrograde cystography revealed contrast leakage into the bladder wall. Therefore, a diagnosis was made of with bladder rupture and pseudo-renal failure. If abdominal pain and peritoneal fluid are present after bladder endometriosis surgery, bladder rupture should be considered in the differential diagnosis even after a long postoperative period.

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Condition tags

endometriosisbladder_endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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