Spontaneous bladder rupture diagnosis based on urinary appearance of mesothelial cells: a case report

Introduction. Spontaneous bladder rupture is an extremely rare clinical event that is associated with urinary ascites and apparent acute renal failure. This event is difficult to diagnose clinically, even with advanced techniques such as computed tomography; however, the timely diagnosis of this condition is critical. Here, we report a case of a patient who experienced a spontaneous intraperitoneal bladder rupture 10 years after postoperative pelvic irradiation for the treatment of uterine cancer. In this report of a rare case, we describe the contribution of the appearance of mesothelial cells in the urine to the diagnosis of this condition. Case presentation. Our patient was a 71-year-old Asian woman who experienced lower abdominal pain and vomiting of two days duration. On admission, abdominal computed tomography showed intraperitoneal fluid collection and her blood tests revealed acute renal failure and hyperkalemia. She underwent hemodialysis and a transurethral catheter was inserted. The transurethral catheter was removed three days after her admission. Four days after the catheter removal, her symptoms recurred and her serum creatinine and blood urea nitrogen levels were elevated. We noted the presence of mesothelial cells in her urine, which led to a diagnosis of intraperitoneal bladder rupture. She underwent surgical repair of her bladder and hyperbaric oxygen therapy, and was discharged after her renal function returned to normal. Conclusion: Urine analysis is a simple and non-invasive test and we believe that a thorough urine analysis may contribute to the early diagnosis of an intraperitoneal bladder rupture. We think that the findings presented in this case report will significantly enhance our understanding of the etiology of bladder rupture. Moreover, these case findings may help nephrologists and urologists to rapidly diagnose this condition

Fibrocytes and the tissue niche in lung repair

Human fibrocytes are bone marrow-derived mesenchymal progenitor cells that express a variety of markers related to leukocytes, hematopoietic stem cells and a diverse set of fibroblast phenotypes. Fibrocytes can be recruited from the circulation to the tissue where they further can differentiate and proliferate into various mesenchymal cell types depending on the tissue niche. This local tissue niche is important because it modulates the fibrocytes and coordinates their role in tissue behaviour and repair. However, plasticity of a niche may be co-opted in chronic airway diseases such as asthma, idiopathic pulmonary fibrosis and obliterative bronchiolitis. This review will therefore focus on a possible role of fibrocytes in pathological tissue repair processes in those diseases

The modeling of beryllium diffusion in InGaAsP layers grown by GSMBE under nonequilibrium conditions

This study reports on Be diffusion in InGaAsP layers grown by gas source molecular beam epitaxy. The experimental structures consisted of a 2000 Å Be-doped (3 × 109 cm−3) In0.73Ga0.27As0.58P0.42 layer sandwiched between two 5000 Å undoped In0.73Ga0.27As0.58P0.42 layers. The samples were subjected to rapid thermal annealing in the temperature range from 700 to 900 °C with time durations of 10 to 240 s. Secondary ion mass spectrometry was employed for a quantitative determination of the Be depth profiles. Concentration profiles of Be in InGaAsP have been simulated according to two kick-out models: the first model involving neutral Be interstitials and singly positively charged Ga, In self-interstitials, and the second model involving singly positively charged Be interstitials and doubly positively charged Ga, In self-interstitials. Comparison with experimental data shows that the first kick-out model gives a better description

Microscopic study of oil flocculation and coalescence processes for understanding the role of surfactants in EOR performance

A preliminary microscopic study of oil/oil droplet interactions in surfactant-added water is carried out to understand the oil/water interface changes with time and its effects on oil/oil droplet coalescence. This study is carried out on two oils (olive and crude oil) with varying concentrations of surfactant water ratios. The radii of curvature of the interface between coalescing oil droplets is used as a measure to reflect the change in surface energy. As oil droplets were placed in surfactant-added water, the radii of curvature were measured at three different states. Early state shows very little effect on oil/oil interfaces; in the later state, the effect is greater and interfacial tension decreases rapidly. At quasi-steady state, the state between the early and later, faster rate stage reduces with surfactant concentration in the case of olive oil. Increasing the surfactant concentration does not show the same effect on crude oil. The radii of curvature increase with time by increasing surfactant concentrations in olive oil; an inverse effect is found in crude oil. A natural surfactant prepared from the outer shell of pericarp of soapnut fruit was also used to study droplet formation and coalescence as well as to investigate the impact in interfacial tension and oil mobility