Ogawa Kosuke, Tabuchi Yusuke, Yamaguchi Takahiro, Iguchi Ryo, Miyata Hitomi, Ito Noriyuki, Okubo Kazutoshi
Department of Urology Kyoto Katsura Hospital Kyoto Japan.
Department of Nephrology Kyoto Katsura Hospital Kyoto Japan.
IJU Case Rep. 2025 May 26;8(4):402-405. doi: 10.1002/iju5.70053. eCollection 2025 Jul.
Bladder rupture is a rare complication of kidney transplantation, with an increased risk in patients with low-compliance bladders.
A man in his 40s with end-stage renal disease secondary to diabetic nephropathy underwent ABO-incompatible living-donor kidney transplantation. He had been anuric for 3.5 years. Bladder rupture was identified during saline injection into the bladder before ureterovesical anastomosis was performed. It was repaired using full-thickness sutures, and the surgical approach was changed from ureterovesical anastomosis to ureteroureterostomy. The catheter was removed on POD 21, and voiding improved over time without complications.
In patients with bladder atrophy, preventing sudden increases in intravesical pressure and ensuring careful catheter handling are crucial for avoiding bladder rupture.
膀胱破裂是肾移植的一种罕见并发症，膀胱顺应性低的患者风险增加。
一名40多岁因糖尿病肾病导致终末期肾病的男性接受了 ABO 血型不相容的活体供肾移植。他已无尿3.5年。在进行输尿管膀胱吻合术前向膀胱注入生理盐水时发现膀胱破裂。使用全层缝合进行修复，手术方式从输尿管膀胱吻合术改为输尿管输尿管吻合术。术后第21天拔除导尿管，排尿情况随时间改善且无并发症。
对于膀胱萎缩的患者，防止膀胱内压突然升高并确保谨慎处理导尿管对于避免膀胱破裂至关重要。
