结肠膀胱成形术后自发性膀胱破裂。病例报告。

Spontaneous bladder rupture after colocystoplasty. Case report.

作者信息

Mansi M K, Sundin T

机构信息

Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudia Arabia.

出版信息

Scand J Urol Nephrol. 1992;26(2):197-9. doi: 10.1080/00365599.1992.11690456.

DOI:10.1080/00365599.1992.11690456

PMID:1626211

Abstract

An 18-year-old girl had bladder extrophy managed by sigmoid cystoplasty with clean intermittent catheterization. Spontaneous bladder rupture occurred 12 months after reconstructive surgery. The diagnosis was made by ultrasound with abdominal tapping and cystography under fluoroscopy. Management included intravenous antibiotics, laparotomy and closure of the perforation. The diagnosis was delayed and postoperative intraperitoneal abscess formation occurred.

摘要

一名18岁女孩因膀胱外翻接受了乙状结肠膀胱扩大术并进行清洁间歇性导尿。重建手术后12个月发生自发性膀胱破裂。通过超声检查、腹部叩诊和透视下膀胱造影做出诊断。治疗措施包括静脉注射抗生素、剖腹手术和穿孔修补。诊断出现延迟，术后发生了腹腔内脓肿形成。