Takenaka A, Yamada Y, Tanaka K, Minami R, Yamanaka N
Department of Urology, Shinko Hospital, Kobe, Japan.
Int J Urol. 2001 Feb;8(2):75-7. doi: 10.1046/j.1442-2042.2001.00246.x.
A case is presented of spontaneous rupture of an ileal orthotopic neobladder due to a large residual urine volume. The present case is the 13th such case reported; however, this case is the first to show lower abdominal phlegmon and in which the perforation site was detected using computed tomography scanning. The indications for neobladder should be considered with great care. If spontaneous rupture is suspected, an early diagnosis of the perforation site and a measure of the extravasation volume using computed tomography are necessary. Appropriate treatment should include laparotomy.
本文报告一例因大量残余尿量导致回肠原位新膀胱自发性破裂的病例。本病例是报告的第13例此类病例；然而，该病例是首例出现下腹部蜂窝织炎且通过计算机断层扫描检测到穿孔部位的病例。新膀胱的适应证应谨慎考虑。如果怀疑有自发性破裂，有必要通过计算机断层扫描对穿孔部位进行早期诊断并测量外渗量。适当的治疗应包括剖腹手术。
