Department of Radiology, Yokote Municipal Hospital, 5-31 Negishicho, Yokote 013-8602, Japan.
Jpn J Radiol. 2012 Apr;30(3):284-7. doi: 10.1007/s11604-011-0042-7. Epub 2012 Jan 7.
We report two cases of spontaneous bladder rupture. Preoperative diagnosis was difficult and the correct diagnosis was made at surgery. Reviewing the initial abdominopelvic CT of our second patient, the bladder wall defect and blood attenuation near the bladder were observed. These findings were consistent with the operative findings, and would have led to correct preoperative diagnosis if we had had sufficient knowledge of spontaneous bladder rupture. Under urinary catheterization, ascites and free intraperitoneal air were identified in both patients. These findings were indistinguishable from those for bowel perforation, which was our preoperative diagnosis. Significant changes in ascites volume between pre and post urinary catheterization can be an indication of spontaneous bladder rupture.
我们报告了两例自发性膀胱破裂的病例。术前诊断较为困难，正确的诊断是在手术中做出的。回顾我们第二位患者的初始腹盆 CT，观察到膀胱壁缺陷和膀胱附近的血液衰减。这些发现与手术结果一致，如果我们对自发性膀胱破裂有足够的了解，就可以做出正确的术前诊断。在导尿过程中，两名患者均发现腹水和游离腹腔积气。这些发现与肠穿孔的表现无法区分，这是我们的术前诊断。导尿前后腹水容量的显著变化可能是自发性膀胱破裂的一个迹象。
