Cusano Antonio, Abarzua-Cabezas Fernando, Meraney Anoop
Department of Urology, Hartford Hospital, Hartford, Connecticut, USA.
BMJ Case Rep. 2014 Jun 12;2014:bcr2014204161. doi: 10.1136/bcr-2014-204161.
Urinary bladder ruptures (UBR) typically result from either blunt or penetrating trauma, or from iatrogenic surgical injuries. Patients typically present with symptoms including lower abdominal pain, haematuria, dysuria and anuria. Here, we report on a rare case of spontaneous bladder perforation. A 60-year-old, Caucasian woman initially presented with lower abdominal pain and diarrhoea, and was subsequently found to have an elevated serum creatinine level. A CT cystogram revealed a leak from the bladder. The patient consented to exploratory laparotomy and repair of the non-traumatic bladder perforation. At the time of the last follow-up, given the fact that the patient's urodynamics were unremarkable and that she was emptying her bladder well (repeat postvoid residual was zero), the patient was informed that she did not require future urological follow-up unless difficulties arise.
膀胱破裂（UBR）通常由钝性或穿透性创伤，或医源性手术损伤引起。患者通常表现出包括下腹部疼痛、血尿、排尿困难和无尿等症状。在此，我们报告一例罕见的自发性膀胱穿孔病例。一名60岁的白种女性最初表现为下腹部疼痛和腹泻，随后发现血清肌酐水平升高。CT膀胱造影显示膀胱有渗漏。患者同意进行剖腹探查并修复非创伤性膀胱穿孔。在最后一次随访时，鉴于患者的尿动力学检查无异常且膀胱排空良好（排尿后残余尿量复查为零），告知患者除非出现问题，否则无需未来的泌尿外科随访。
