Skip to main content Skip to main navigation menu Skip to site footer

Vesico-Peritoneal Fistula As A Rare Cause Of Peritonitis In Guillain-Barre Syndrome: A Case Report

  • Eriawan Agung Nugroho ,
  • Dimas Susilo Waridiarto ,
  • Nanda Daniswara ,
  • Sofyan Rais Addin ,
  • Dimas Sindhu Wibisono ,
  • Ardy Santosa ,


Abstract

Introduction: Guillain-Barre syndrome is the most common and most severe acute paralytic neuropathy with any clinical features. Some patients present with the neurogenic bladder in which bladder dysfunction happens, resulting in urinary retention. The delayed diagnosis often leads to some complications, including bladder perforation. Vesico-peritoneal is lined by epithelial cells that communicate between the peritoneal cavity and the urinary bladder. In this location, can occur a fistula called vesico-peritoneal fistula. This type of fistula leads to peritonitis with high morbidity and mortality.

Case description: A 22- year- old female was admitted to a neurologist with lower extremities paralysis. The surgery department then consulted the patient for suspicion of generalized peritonitis. The patient had a history of taking medication for Guillain-Barre syndrome and complaint of abdominal pain, bloating, nausea, hematemesis, and hematuria. The abdominal radiograph showed pneumoperitoneum. The patient received antibiotics and underwent exploratory laparotomy. Exploratory laparotomy revealed vesico-peritoneal fistula. In this case, the defect was achieved by dissection of the fistulous tract and the primary closure of the bladder. Postoperative follow-up indicated no sign of complication.

Conclusion: Fistulation between the bladder and peritoneal in GBS could cost high morbidity and mortality. Dissection of the fistulous tract and primary closure of the bladder could overcome this condition without any concerning complications.

Keywords: Bladder perforation fistula Guillain-barre syndrome peritonitis vesico-peritoneal

References

  1. Serlin DC, Heidelbaugh JJ, Stoffel JT. Urinary Retention in Adults: Evaluation and Initial Management. Am Fam Physician [Internet]. 2018;98(8):496–503. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30277739
  2. Yahata T, Boshi E, Ino K, Nishi T. Laparoscopic Repair for Vesicoperitoneal Fistula with Vesicouterine Abscess. Gynecol Minim Invasive Ther [Internet]. 2019 Oct 24;8(4):172–5. Available from: https://pubmed.ncbi.nlm.nih.gov/31741843
  3. Wieloch M, Bazylińska K, Ziemniak P. Spontaneous, idiopathic urinary bladder perforation--case report. Pol Przegl Chir [Internet]. 2013;85(12):727–9. Available from: http://dx.doi.org/10.2478/pjs-2013-0111
  4. Lavelle JP. Urological Care for Patients with Progressive Neurological Conditions. Journal of Urology [Internet]. 2020;203(6). Available from: https://journals.lww.com/auajuro/Fulltext/2020/06000/Urological_Care_for_Patients_with_Progressive.59.aspx
  5. Moreno-Alarcón C, Rigabert-Montiel M, López-Cubillana P, Gómez-Gómez G. Conservative management is a reasonable option in intraperitoneal bladder rupture. Arch Esp Urol [Internet]. 2014;67(9):788–91. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25407155
  6. Murata R, Kamiizumi Y, Tani Y, Ishizuka C, Kashiwakura S, Tsuji T, et al. Spontaneous rupture of the urinary bladder due to bacterial cystitis. J Surg Case Rep [Internet]. 2018 Sep 29;2018(9):rjy253–rjy253. Available from: https://pubmed.ncbi.nlm.nih.gov/30302191
  7. Aber A, Hyder SA, Arumuham V. An Unusual Case of Spontaneous Bladder Perforation with Associated Autodialysis of the Ensuing Urinary Ascites. Mangoni AA, editor. Case Reports in Medicine [Internet]. 2011;2011:145084. Available from: https://doi.org/10.1155/2011/145084
  8. Sakakibara R, Uchiyama T, Kuwabara S, Mori M, Ito T, Yamamoto T, et al. Prevalence and mechanism of bladder dysfunction in Guillain-Barré Syndrome. Neurourol Urodyn [Internet]. 2009;28(5):432–7. Available from: http://dx.doi.org/10.1002/nau.20663
  9. Grbavac Z, Gilja I, Gubarev N, Bozicević D. [Neurologic and urodynamic characteristics of patients with Guillain-Barré syndrome]. Lijec Vjesn [Internet]. 1989;111(1–2):17–20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/2739495
  10. Sakakibara R, Hattori T, Kuwabara S, Yamanishi T, Yasuda K. Micturitional disturbance in patients with Guillain-Barré syndrome. J Neurol Neurosurg Psychiatry [Internet]. 1997 Nov;63(5):649–53. Available from: https://pubmed.ncbi.nlm.nih.gov/9408108
  11. Keeler LL, Sant GR. Spontaneous rupture of a bladder diverticulum. J Urol [Internet]. 1990;143(2):349–51. Available from: http://dx.doi.org/10.1016/s0022-5347(17)39958-5
  12. Mitchell T, Al-Hayek S, Patel B, Court F, Gilbert H. Acute abdomen caused by bladder rupture attributable to neurogenic bladder dysfunction following a stroke: a case report. J Med Case Rep [Internet]. 2011 Jun 29;5:254. Available from: https://pubmed.ncbi.nlm.nih.gov/21714888
  13. Britto MM, Yao HHI, Campbell N. Delayed diagnosis of spontaneous rupture of a congenital bladder diverticulum as a rare cause of an acute abdomen. ANZ J Surg [Internet]. 2018;89(9):E385–7. Available from: http://dx.doi.org/10.1111/ans.14559
  14. Qiao P, Tian D, Bao Q. Delayed diagnosis of spontaneous bladder rupture: a rare case report. BMC Women’s Health [Internet]. 2018;18(1):124. Available from: https://doi.org/10.1186/s12905-018-0616-y
  15. Quagliano P v, Delair SM, Malhotra AK. Diagnosis of Blunt Bladder Injury: A Prospective Comparative Study of Computed Tomography Cystography and Conventional Retrograde Cystography. Journal of Trauma and Acute Care Surgery [Internet]. 2006;61(2). Available from: https://journals.lww.com/jtrauma/Fulltext/2006/08000/Diagnosis_of_Blunt_Bladder_Injury__A_Prospective.25.aspx
  16. Ooi WL, Sherwood BT, Stanley J, Baskaranathan S. Vesico-peritoneal fistula: a rare cause of chronic abdominal pain. Journal of Clinical Urology [Internet]. 2012 Apr 1;7(2):121–2. Available from: https://doi.org/10.1016/j.bjmsu.2012.03.001
  17. Schäfer W, Abrams P, Liao L, Mattiasson A, Pesce F, Spangberg A, et al. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies. Neurourol Urodyn [Internet]. 2002;21(3):261–74. Available from: http://dx.doi.org/10.1002/nau.10066
  18. Garza A, Lizárraga J, Müller G, Saldivar M, Cruz L. A vesico-peritoneal fistula in a patient with history of diverticulitis-related colovesical fistula repair: a case report. International Surgery Journal. 2020 Aug 27;7:3086.

How to Cite

Nugroho, E. A., Waridiarto, D. S., Daniswara, N., Addin, S. R., Wibisono, D. S., & Santosa, A. (2022). Vesico-Peritoneal Fistula As A Rare Cause Of Peritonitis In Guillain-Barre Syndrome: A Case Report. Bali Medical Journal, 11(2), 523–526. https://doi.org/10.15562/bmj.v11i2.3220
ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver
Download Citation
Endnote/Zotero/Mendeley (RIS) BibTeX

HTML
0

Total
2

Share

Search Panel

Eriawan Agung Nugroho
Google Scholar
Pubmed
BMJ Journal

Dimas Susilo Waridiarto
Google Scholar
Pubmed
BMJ Journal

Nanda Daniswara
Google Scholar
Pubmed
BMJ Journal

Sofyan Rais Addin
Google Scholar
Pubmed
BMJ Journal

Dimas Sindhu Wibisono
Google Scholar
Pubmed
BMJ Journal

Ardy Santosa
Google Scholar
Pubmed
BMJ Journal