Asano Touko, Sugiyama Hironori, Ohtsuka Yukihiro
The Department of Urology, Omori Red Cross Hospital.
Hinyokika Kiyo. 2022 Oct;68(10):323-325. doi: 10.14989/ActaUrolJap_68_10_323.
An inebriated 58-year-old woman with a history of hysterectomy presented to the emergency department with abdominal pain. The patient received hydration and acetaminophen, which led to symptom resolution. The patient returned with severe abdominal pain, 12 hours later. Computed tomography (CT) revealed a large volume of ascites and bladder wall disruption. Ascitic fluid analysis showed an elevated creatinine (Cre) level of 7.56 mg/dl, and the ascites to serum Cre ratio was 2.96, which indicated urinary ascites secondary to bladder rupture. The patient was diagnosed with intraperitoneal bladder rupture and underwent successful conservative treatment using an indwelling urinary catheter.
一名58岁有子宫切除病史的醉酒女性因腹痛就诊于急诊科。患者接受了补液和对乙酰氨基酚治疗,症状得以缓解。12小时后,患者因严重腹痛再次前来就诊。计算机断层扫描(CT)显示大量腹水和膀胱壁破裂。腹水分析显示肌酐(Cre)水平升高至7.56mg/dl,腹水与血清肌酐比值为2.96,提示膀胱破裂继发尿性腹水。该患者被诊断为腹膜内膀胱破裂,并通过留置导尿管成功接受了保守治疗。