Spontaneous rupture of the bladder during vomiting.

A 46-year-old woman with no urological history or comorbidities presented with an acute abdomen with haematuria after a spell of protracted vomiting. The initial cystogram was negative; however, CT imaging highly suggested an intraperitoneal bladder perforation, which was confirmed during laparotomy and subsequently repaired. Cystoscopic evaluation prior to laparotomy revealed no concurrent bladder pathology, and the ureteric orifices were intact. A cystogram 2 weeks after repair demonstrated no leaks, and her catheters were removed. She recovered well, with expectant postoperative pain and lower urinary tract symptoms settling on 3-month review. Spontaneous bladder rupture is a rare entity, with very few reports in the literature.

Secondary peritoneal hydatidosis, the challenges of echinococcal disease in South Sudan: a case report.

A 28 year old male presented to the Juba Teaching Hospital with progressive shortness of breath. 18 months prior to admission, he presented to a rural hospital with severe abdominal pain. An emergency laparotomy was performed, and a large hepatic cyst was removed. Examination at the Juba Teaching hospital revealed a grossly distended abdomen with multiple palpable masses per abdomen. An Abdominal Ultrasound revealed multiple loculated cysts throughout the abdomen. A diagnosis of Secondary Peritoneal Hydatidosis resulting from incorrectly performed surgery was made. The patient was conservatively treated and at 14 weeks, the cysts showed a moderate reduction in size. Cystic Echinococcus (CE) is common in South Sudan and has a considerable disease burden throughout the developing world. Greater governmental and international support is required to develop effective control measures for these diseases.