Chang Tu-Hao, Li Ching-Chia, Wu Wen-Jeng, Chou Yii-Her, Liu Chia-Chu, Huang Chun-Hsiung
Department of Urology, Kaohsiung Medical University, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2005 Apr;21(4):189-92. doi: 10.1016/S1607-551X(09)70300-6.
A 63-year-old male patient suffered from diabetes, hypertension, and a bladder tumor. He had undergone radical cystectomy and ileal neobladder construction 1 year prior to this admission. He came to our emergency room complaining of abdominal pain after recent alcohol consumption. Muscle guarding and abdominal rebounding pain developed after conservative treatment for 1 day. The next day, emergency laparotomy for acute peritonitis revealed two small perforations in the neobladder and calculus formation within it. In addition, severe intraperitoneal adhesion was noted. After removing the neobladder stone and repairing the neobladder, a Foley catheter was inserted for urine drainage. The patient's postoperative recovery was excellent.
一名63岁男性患者患有糖尿病、高血压和膀胱肿瘤。他在本次入院前1年接受了根治性膀胱切除术和回肠新膀胱术。他因近期饮酒后腹痛前来我们的急诊室。保守治疗1天后出现肌紧张和腹部反跳痛。次日，因急性腹膜炎进行急诊剖腹探查，发现新膀胱有两个小穿孔并伴有结石形成。此外，还发现严重的腹腔粘连。取出新膀胱结石并修复新膀胱后，插入Foley导尿管进行尿液引流。患者术后恢复良好。
