钝性创伤后腹膜内膀胱穿孔的延迟诊断
Delayed diagnosis of intraperitoneal bladder perforation after blunt trauma.
作者信息
Wang Lu, Ogawa Soichiro, Onagi Akifumi, Tanji Ryo, Honda Ruriko, Matsuoka Kanako, Hoshi Seiji, Koguchi Tomoyuki, Kurimura Yoshimasa, Onoda Mitsutaka, Hata Junya, Yabe Michihiro, Sato Yuichi, Akaihata Hidenori, Kataoka Masao, Haga Nobuhiro, Ishibashi Kei, Kojima Yoshiyuki
机构信息
Department of Urology Fukushima Medical University School of Medicine Fukushima Japan.
Department of Urology Zhongnan Hospital of Wuhan University Wuhan China.
出版信息
IJU Case Rep. 2019 Jan 20;2(2):83-85. doi: 10.1002/iju5.12045. eCollection 2019 Mar.
INTRODUCTION
Intraperitoneal urinary bladder perforation due to blunt trauma in intoxicated patients requires quick and accurate diagnosis. However, this is difficult to correctly diagnose in intoxicated patients because their symptoms can be masked. We describe a rare case of intraperitoneal urinary bladder perforation that occurred after blunt trauma.
CASE PRESENTATION
A 66-year-old intoxicated man stumbled, tripped on a stone step and landed on his lower abdomen, but felt no pain at the time. Two days later, he was diagnosed with intraperitoneal urinary bladder perforation, which was repaired by open surgery.
CONCLUSION
Urinary bladder perforation should be considered when patients present with abdominal pain and decrease in urine volume following trauma.
引言
醉酒患者因钝性创伤导致的腹膜内膀胱穿孔需要快速准确的诊断。然而，在醉酒患者中很难正确诊断，因为他们的症状可能被掩盖。我们描述了一例钝性创伤后发生的腹膜内膀胱穿孔罕见病例。
病例介绍
一名66岁的醉酒男子绊倒，在石阶上绊了一下，腹部着地，但当时没有疼痛感。两天后，他被诊断为腹膜内膀胱穿孔，通过开放手术进行了修复。
结论
当患者在创伤后出现腹痛和尿量减少时，应考虑膀胱穿孔。
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