Sahnoun Wajih, Ben Rhouma Sami, Kacem Aziz, Mrad Dali Khaireddine, Rekik Issam, Chelly Beya, Messaoudi Yosri, Ouanes Yassine, Sellami Ahmed, Nouira Yassine
Department of Urology, La Rabta Hospital, Tunis, Tunisia.
Department of Pathology, La Rabta Hospital, Tunis, Tunisia.
J Surg Case Rep. 2020 Nov 28;2020(11):rjaa454. doi: 10.1093/jscr/rjaa454. eCollection 2020 Nov.
While bladder rupture is most of the time secondary to external injury such as trauma or iatrogenic events, spontaneous bladder rupture (SBR) is a rare condition which is mostly associated with bladder cancer, neurologic bladder or radiotherapy. We report a case of a 63-year-old patient with an invasive squamous cell bladder carcinoma who presented acute peritonitis caused by a SBR while being prepared for radical surgery. CT-scan helped to confirm diagnosis and emergency cystectomy was performed. SBR should be considered in differential diagnosis of peritonitis. On time diagnosis and adequate surgery could improve its prognosis.
虽然膀胱破裂大多继发于外部损伤,如创伤或医源性事件,但自发性膀胱破裂(SBR)是一种罕见的病症,主要与膀胱癌、神经源性膀胱或放疗有关。我们报告一例63岁患有浸润性膀胱鳞状细胞癌的患者,在准备进行根治性手术时出现了由自发性膀胱破裂引起的急性腹膜炎。CT扫描有助于确诊,并进行了急诊膀胱切除术。在腹膜炎的鉴别诊断中应考虑自发性膀胱破裂。及时诊断和适当的手术可以改善其预后。