Basavaraj D R, Zachariah K K, Feggetter J G
Department of Urology, Wansbeck General Hospital, Ashington, Northumberland, UK.
J R Coll Surg Edinb. 2001 Oct;46(5):316-7.
Spontaneous perforation of the urinary bladder is a rare clinical condition presenting as an acute abdomen. It should be suspected in patients with a past history of radiotherapy to the pelvis, enterocystoplasty and those suspected of having a tumour in the bladder. Disproportionately elevated serum urea and creatinine should raise the index of suspicion. A case of spontaneous perforation of the bladder, five years following successful treatment of a bladder tumour by radiotherapy, is reported.
膀胱自发性穿孔是一种罕见的临床病症，表现为急腹症。对于有盆腔放疗史、肠膀胱扩大术史以及怀疑膀胱有肿瘤的患者，应怀疑此病。血清尿素和肌酐不成比例地升高应提高怀疑指数。本文报告一例在成功放疗治疗膀胱肿瘤五年后发生膀胱自发性穿孔的病例。
