Mischianu Dan, Bratu Ovidiu, Ilie Cristian, Madan Victor
Urology Clinic, Central Military Emergency Universitary Hospital Dr. Carol Davila Mircea Vulcanescu 88, Bucharest, Romania.
J Med Life. 2008 Jan-Mar;1(1):66-71.
Urinary peritonitis (the uroperitoneum) is categorized as a difficult to diagnose clinical entity due to its poor manifestations. Vesical trauma following pelvis bone fracture is the most frequently involved in the uroperitoneum aetiology, followed by spontaneous vesical rupture and intraoperative iatrogenic lesions. One of the most important and constant signs that can occur is diffuse abdominal tension, without tenderness. The imagistic procedure that sets the diagnosis is retrograde cystography showing intraperitoneal urine effusion. Vesical rupture is a surgical emergency. The uroperitoneum is a particular type of peritonitis that has hidden and misleading symptoms which can delay the diagnosis long enough to endanger the patient's life.
尿性腹膜炎（尿腹症）因其临床表现不典型而被归类为难以诊断的临床病症。骨盆骨折后的膀胱创伤是尿腹症病因中最常见的，其次是自发性膀胱破裂和术中医源性损伤。可能出现的最重要且持续存在的体征之一是弥漫性腹部张力，无压痛。确立诊断的影像学检查是逆行膀胱造影，显示腹膜内尿液渗出。膀胱破裂是外科急症。尿腹症是一种特殊类型的腹膜炎，具有隐匿且易误导的症状，可能会将诊断延迟到足以危及患者生命的程度。
