Herd A M, Crofts N G, Lee L M, Girard J V, Sweetland R J
Department of Family Medicine, Faculty of Medicine of the University of Manitoba, Winnipeg, Canada.
J Emerg Med. 1994 May-Jun;12(3):409-11. doi: 10.1016/0736-4679(94)90287-9.
We report the case of an intoxicated male patient who presented with an isolated intraperitoneal urinary bladder rupture, with a history of minor trauma. A review of the literature reveals that isolated bladder rupture after minimal or no trauma in association with alcohol or drug ingestion is an infrequently reported, but recognized, injury. The diagnosis of bladder rupture should be considered in an intoxicated patient with lower abdominal pain, even without a history of trauma. A history of voiding or bladder dysfunction should increase the suspicion for this injury. If suspected, a retrograde cystogram should be obtained promptly. Failure to consider and recognize this injury may lead to significant morbidity.
我们报告了一例醉酒男性患者的病例，该患者表现为单纯性腹膜内膀胱破裂，有轻微外伤史。文献回顾显示，与酒精或药物摄入相关的轻微或无外伤后单纯膀胱破裂是一种报道较少但已被认识的损伤。即使没有外伤史，对于有下腹部疼痛的醉酒患者也应考虑膀胱破裂的诊断。排尿或膀胱功能障碍史应增加对此损伤的怀疑。如果怀疑有膀胱破裂，应立即进行逆行膀胱造影。未能考虑并认识到这种损伤可能导致严重的发病率。
