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良性前列腺增生继发自发性腹腔内膀胱破裂的成功保守治疗:一例报告。

Successful conservative management of a spontaneous intraperitoneal urinary bladder rupture secondary to benign prostatic hyperplasia: a case report.

机构信息

Department of Urology A, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco.

出版信息

Pan Afr Med J. 2021 Mar 16;38:268. doi: 10.11604/pamj.2021.38.268.26684. eCollection 2021.

Abstract

A spontaneous intraperitoneal bladder rupture is a rare, serious and life-threatening surgical emergency of various etiologies, with unspecific clinical presentation, and difficult diagnosis. Surgical treatment is the standard therapy for intraperitoneal bladder rupture; however, there is an increasing tendency toward conservative management in selected patients with favorable characteristics. Herein, we report a rare case of a 65-year-old male patient presented to the emergency department with intraperitoneal bladder rupture following an episode of acute urinary retention due to benign prostatic hyperplasia, and which was successfully managed conservatively with urinary bladder catheterization and antibiotic therapy, without any complication.

摘要

自发性腹腔内膀胱破裂是一种罕见的、严重的、危及生命的外科急症,其病因多种多样,临床表现无特异性,诊断困难。手术治疗是腹腔内膀胱破裂的标准治疗方法;然而,对于具有良好特征的特定患者,越来越倾向于保守治疗。在此,我们报告一例罕见病例,一名 65 岁男性患者因良性前列腺增生症并发急性尿潴留就诊于急诊科,经保守治疗(留置导尿管和抗生素治疗)成功治愈,无任何并发症。

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