Zaninovic A C, Westra S J, Hall T R, Sherman M P, Wong L, Boechat M I
Department of Radiological Sciences, UCLA Medical Center.
Pediatr Radiol. 1992;22(7):509-11. doi: 10.1007/BF02012995.
A case of congenital bladder rupture with urine ascites and bilateral hydronephrosis secondary to a sacrococcygeal teratoma obstructing the bladder outlet is presented. As no evidence of pulmonary hypoplasia and renal dysplasia was present, with rapid recovery of renal function after decompressive surgery, the infravesical obstruction probably occurred late in the fetal period. The bladder rupture resulting in internal decompression may have constituted an additional protective mechanism for the preservation of renal function.
本文报告一例先天性膀胱破裂合并尿腹水及双侧肾积水病例，病因是骶尾部畸胎瘤阻塞膀胱出口。由于未发现肺发育不全和肾发育异常的证据，且减压手术后肾功能迅速恢复，膀胱下梗阻可能发生在胎儿期晚期。膀胱破裂导致的内部减压可能构成了一种保护肾功能的额外机制。
