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

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.