Abdelmaksoud Sherif, Albishbishy Mohammed, Elayyouti Mostafa, Zohiri Mohamed, Elsaied Adham
Department of Paediatric Surgery, Mansoura University Children's Hospital, Mansoura, Egypt, Egypt.
European J Pediatr Surg Rep. 2020 Jan;8(1):e14-e17. doi: 10.1055/s-0039-1700986. Epub 2020 Mar 6.
Circumcision is one of the most common pediatric surgical procedures performed all over the world and especially in Arab and Islamic countries. Many complications have been documented following this maneuver. We report on a rare case of intraperitoneal bladder rupture in a 7-day-old baby who was circumcised on his second day using the guillotine method. He presented to us with gangrene of the tip of the penis and a failure to void urine associated with progressive abdominal distension. Ultrasound revealed severe ascites. Aspiration and analysis confirmed the fluid to be urine. Ascending cystourethrogram was performed revealing a perforation of the posterior bladder wall near the trigone. Exploration was performed and repair done. Postoperative course was uneventful.
包皮环切术是全球尤其是阿拉伯和伊斯兰国家最常见的小儿外科手术之一。该手术之后已有许多并发症的记录。我们报告了一例罕见的腹膜内膀胱破裂病例，患儿为7日龄婴儿，出生第二天采用断头法进行了包皮环切术。他因阴茎头坏疽及无法排尿并伴有进行性腹胀前来就诊。超声检查显示大量腹水。抽吸及分析证实液体为尿液。进行了上行性膀胱尿道造影，显示膀胱三角区附近后壁穿孔。进行了探查并完成修复。术后病程平稳。
