Okuda Hidenobu, Tei Norihide, Shimizu Kiyonori, Imazu Tetsuo, Yoshimura Kazuhiro, Kiyohara Hisakazu
Department of Urology, Toyonaka Municipal Hospital.
Hinyokika Kiyo. 2008 Jul;54(7):501-4.
Perforation of the bladder related to long-term indwelling urethral catheter is a rare and serious complication. A 85-year-old man with an indwelling urethral catheter presented severe hematuria, abdominal pain with rebound tenderness and muscular tension over the suprapubic area after the exchange of the urethral catheter. Computed tomography and cystogram revealed experitoneal bladder perforation due to indwelling catheter. Three weeks after the indwelling urethral catheter had been placed, the perforation was closed. In most cases, laparotomy and suprapubic cystostomy are performed. We describe the case of experitoneal bladder perforation successfully treated by urethral drainage.
与长期留置导尿管相关的膀胱穿孔是一种罕见且严重的并发症。一名85岁留置导尿管的男性在更换导尿管后出现严重血尿、腹痛，耻骨上区有反跳痛和肌紧张。计算机断层扫描和膀胱造影显示因留置导尿管导致腹膜外膀胱穿孔。留置导尿管三周后，穿孔闭合。在大多数情况下，需进行剖腹手术和耻骨上膀胱造瘘术。我们描述了一例通过尿道引流成功治疗腹膜外膀胱穿孔的病例。
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