Rosenberg Shilo, Gofrit Ofer N, Hidas Guy, Landau Ezekiel H, Pode Dov
Department of Urology, Hadassah-Hebrew University Medical Center Jerusalem, Israel.
Can Urol Assoc J. 2013 Nov-Dec;7(11-12):E817-9. doi: 10.5489/cuaj.1531.
Spontaneous neobladder perforations are rare, but well-documented; the first cases were reported more than 2 decades ago mostly in urologic journals. However, the diagnosis of these patients is often delayed in the emergency room setting because initial care is given by non-urological medical staff that is too often unaware of this etiology. We present 2 cases and discuss the shift in treatment that has occurred over time.
自发性新膀胱穿孔很少见,但有充分记录;首例病例于20多年前报道,大多发表在泌尿外科期刊上。然而,在急诊室环境中,这些患者的诊断常常延迟,因为最初的治疗由非泌尿外科医务人员进行,他们常常不了解这种病因。我们介绍2例病例,并讨论随着时间推移治疗方法的转变。