Martínez Jabaloyas J M, Vera Donoso C D, Morera Martínez J F, Ruiz Cerdá J L, Beamud Gómez A, Jiménez Cruz J F
Department of Urology, La Fe Hospital, Valencia, Spain.
Eur Urol. 1994;25(3):259-61. doi: 10.1159/000475294.
The spontaneous rupture of neobladder is an extremely rare entity of which there only exists one formerly reported case in the world literature. It is far more common after enterocystoplasty for augmentation (19 reported cases). We describe here the spontaneous rupture of a neobladder 8 months after performing cystectomy and bladder replacement by an enterocystoplasty in order to treat a bladder carcinoma. In this case the patient showed symptoms and signs of acute peritonitis. The diagnosis was carried out using a cystogram and the treatment consisted of a laparotomy with closure of the perforation and drainage of the peritoneal cavity.
新膀胱自发性破裂是一种极为罕见的情况，世界文献中仅报道过1例。在用于膀胱扩大术的肠膀胱扩大成形术后更为常见（有19例报道）。我们在此描述了1例在膀胱切除术后8个月行肠膀胱扩大成形术替代膀胱以治疗膀胱癌时发生的新膀胱自发性破裂。该病例中患者出现了急性腹膜炎的症状和体征。通过膀胱造影进行诊断，治疗包括剖腹手术，修补穿孔并引流腹腔。
