Sharma Deepanshu, Garg Gaurav, Pandey Siddharth, Goel Apul
Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.
BMJ Case Rep. 2018 Oct 25;2018:bcr-2018-225888. doi: 10.1136/bcr-2018-225888.
Spontaneous rupture of the urinary bladder is extremely rare. We report a case of a 70-year-old man with spontaneous bladder rupture secondary to neglected giant vesicle calculi who presented as acute renal failure. The patient was stabilised with per-urethral catheterisation and extravesical drain placement. About 700 mL pus mixed with urine was drained through the per-urethral catheter and approximately 2000 mL of pus was drained through the extravesical drain. Cystolithotomy showed two large calculi which were removed.
膀胱自发性破裂极为罕见。我们报告一例70岁男性患者，因忽视巨大膀胱结石继发膀胱自发性破裂，表现为急性肾衰竭。患者通过经尿道插导尿管和膀胱外引流得以稳定病情。经尿道导尿管引出约700毫升脓性尿液混合液，膀胱外引流引出约2000毫升脓液。膀胱切开取石术显示取出了两块大结石。
