Nishimura T, Suzuki K, Iijima M, Nozue M, Imai M, Suzuki S, Sakahara H, Ohta N, Kasami M
Department of Radiology, Hamamatsu University School of Medicine, Japan.
Radiat Med. 2000 Jul-Aug;18(4):261-5.
We present a case of spontaneous rupture of bladder diverticulum three years after postoperative whole pelvic irradiation (50.4 Gy) for carcinoma of the uterine cervix. The patient had suffered from a neurogenic bladder after hysterectomy, but excretory urography revealed no abnormalities. Bladder diverticulum was found two years later. Spontaneous rupture of the urinary bladder is one of the late complications associated with radiotherapy, although it is very rare. Postoperative neurogenic bladder may also be associated with rupture. We should be aware of this rare complication in patients who receive pelvic irradiation.
我们报告一例子宫颈癌术后全盆腔放疗(50.4 Gy)三年后膀胱憩室自发性破裂的病例。患者子宫切除术后患有神经源性膀胱,但排泄性尿路造影未发现异常。两年后发现膀胱憩室。膀胱自发性破裂是放疗相关的晚期并发症之一,尽管非常罕见。术后神经源性膀胱也可能与破裂有关。我们应该对接受盆腔放疗的患者警惕这种罕见并发症。