Vasdev Nikhil, Coulthard Malcolm G, De la hunt Mike N, Starzyk Bosena, Ognjanovic Milos, Willetts Ian E
Department of Pediatric Urology, Royal Victoria Infirmary, Queen Victoria Road, Newcastle Upon Tyne, UK.
J Pediatr Urol. 2009 Apr;5(2):100-4. doi: 10.1016/j.jpurol.2008.09.007. Epub 2008 Nov 8.
We describe the clinical presentation, radiology and clinical management of four neonates with spontaneous urinary bladder rupture and secondary urinary ascites seen in 1984 and two recent cases seen in 2007. All neonates had normal genitourinary systems on antenatal serial ultrasound scans. The management of these cases ranged from conservative management (n=3) to surgical repair of bladder (n=1). We present a review of the current literature covering management strategies and the possible role of ischemia in the pathogenesis of neonatal bladder rupture which continues to be a clinically challenging entity to diagnose and manage.
我们描述了1984年所见的4例新生儿自发性膀胱破裂及继发性尿腹症的临床表现、放射学表现及临床处理情况，以及2007年所见的2例近期病例。所有新生儿在产前系列超声扫描中泌尿生殖系统均正常。这些病例的处理方式从保守处理（n = 3）到膀胱手术修复（n = 1）不等。我们对当前文献进行了综述，内容涵盖处理策略以及局部缺血在新生儿膀胱破裂发病机制中可能发挥的作用，而新生儿膀胱破裂仍是临床诊断和处理方面具有挑战性的病症。
