Handoko Richardo R, Ismy Jufriady, Badiri Istanul
Department of Urology, Faculty of Medicine, Universitas Padjadjaran, Hasan Sadikin Hospital, Bandung, Indonesia.
Division of Urology, Department of Surgery, Faculty of Medicine, Universitas Syiah Kuala, Zainoel Abidin Hospital, Banda Aceh, Indonesia.
Urol Case Rep. 2022 Jan 17;42:102004. doi: 10.1016/j.eucr.2022.102004. eCollection 2022 May.
Untreated adult bladder exstrophy is a very rare entity and has a higher risk of developing bladder cancer. A 41-year old man with acute kidney injury and bilateral hydronephrosis was consulted to Urology Division. Examination revealed bladder exstrophy with suspected malignancy. The incisional biopsy result showed transitional cell carcinoma which is the most common bladder cancer, but extremely rare in bladder exstrophy. Radical cystectomy and urinary diversion with double-barrel ureterocutaneostomy were conducted. Abdominal defect was closed with surgical mesh application and rotational skin flap. The patient was well recovered with improved quality of life.
未经治疗的成人膀胱外翻是一种非常罕见的病症，患膀胱癌的风险更高。一名患有急性肾损伤和双侧肾积水的41岁男性被转诊至泌尿外科。检查发现膀胱外翻并疑似恶性肿瘤。切开活检结果显示为移行细胞癌，这是最常见的膀胱癌类型，但在膀胱外翻中极为罕见。进行了根治性膀胱切除术和双管输尿管皮肤造口术的尿流改道。使用手术网片和旋转皮瓣封闭腹部缺损。患者恢复良好，生活质量得到改善。
