Urinary Bladder Perforation in an Old Male with Hemorrhagic Cystitis: A Case Report

Abstract

As time is passing, cancer treatment is also improving day by day. Resultantl y, there is increase in cancer patient’s survival rates. Hence, cancer survivorship medical and social issues are also coming to the limelight. It’s pertinent to mention here that one of rare but also very severe and debilitating long-term side effect of cancer therapy is finding of hemorrhagic cystitis (HC). Gorczynska et al [1] defined it as the manifestation of sustained hematuria accompanied with lower urinary tract symptoms in the absence of any active tumor and other conditions, such as general bleeding disorders, urinary tract infections (bacterial or fungal) and vaginal bleeding. Other than surgical modality, radiation and chemotherapy are the mostly utilized for treating cancer treatments [2,3]. However both of these are risk factors for the development of HC later on. Radiation therapy delivers high-energy rays to the tumor having less systemic side effects. However, there still is some irradiation mediated damage to surrounding normal tissue and it’s inevitable. Here we present a case of 75 years old patient who presented to us with hemorrhagic cystitis and then due to catheter wash for bladder clots resulted in intraperitoneal bladder rupture. 2. CASE PRESENTATION