Yasunaga Y, Yokokawa K, Nakano E
Department of Surgery, Ideda City Hospital.
Hinyokika Kiyo. 1989 Nov;35(11):1939-42.
A case of non-traumatic rupture of the urinary bladder is reported. The patient, a 52-year-old woman, was admitted to our clinic with the chief complaints of dysuria and gross hematuria after hemorrhoidectomy. Ultrasonography and CT scan showed a huge mass in Retzius' cavity. Then, rupture of the bladder was diagnosed through subsequent cystoscopy and cystography. During surgery, we recognized a large defect in the anterior wall of the urinary bladder associated with reddish-yellow fluid in the pelvic cavity. Histological findings showed no malignant change in the bladder. Various factors were suspected to be related to this spontaneous rupture of the urinary bladder.
报告了一例非创伤性膀胱破裂病例。患者为一名52岁女性，因痔切除术后尿痛和肉眼血尿为主诉入院。超声检查和CT扫描显示耻骨后间隙有一个巨大肿块。随后通过膀胱镜检查和膀胱造影诊断为膀胱破裂。手术中，我们发现膀胱前壁有一个大的缺损，盆腔内有红黄液。组织学检查结果显示膀胱无恶性改变。怀疑多种因素与膀胱的这种自发性破裂有关。
