Davis J L, Callender C O
J Natl Med Assoc. 1982 Nov;74(11):1131-5.
The high incidence of surgical complications following renal transplantation is well known. Urologic complications, however, present some of the most challenging problems to the transplant surgeon. The authors present here a detailed case report of spontaneous (delayed) bladder rupture (SDBR) which occurred 90 days after kidney transplantation in a recipient with cytomegalovirus infection (CMV). Urinary catheter drainage is recommended in preference to surgical intervention for the successful correction of SDBR. It is postulated further that, despite a negative bladder biopsy, CMV may have infiltrated the bladder and contributed to this "spontaneous" bladder wall rupture.
肾移植术后手术并发症的高发生率是众所周知的。然而，泌尿外科并发症给移植外科医生带来了一些最具挑战性的问题。作者在此报告一例详细病例，一名患有巨细胞病毒感染（CMV）的肾移植受者在肾移植90天后发生自发性（延迟性）膀胱破裂（SDBR）。对于成功纠正SDBR，建议优先采用导尿管引流而非手术干预。进一步推测，尽管膀胱活检结果为阴性，但CMV可能已侵入膀胱并导致了这种“自发性”膀胱壁破裂。
