Tabaru A, Endou M, Miura Y, Otsuki M
Third Department of Internal Medicine, University of Occupational and Environmental Health, School of Medicine, Kitakyushu.
Intern Med. 1996 Nov;35(11):880-2. doi: 10.2169/internalmedicine.35.880.
We report a case of generalized peritonitis caused by spontaneous intraperitoneal rupture of the urinary bladder. A 74-year-old female was admitted with abdominal pain and biochemical findings of acute renal failure (ARF). She had recently complained of macrohematuria. She had a past history of radiotherapy for uterine cervical cancer and Parkinson's disease treated with levodopa and amantadine. We diagnosed this case as intraperitoneal rupture of the bladder by cystogram. Biochemical findings of ARF might have resulted from urine reabsorption. Intraperitoneal rupture of the bladder should be considered in all cases of peritonitis, especially in patients with urological symptoms and features of ARF.
我们报告一例因膀胱自发性腹膜内破裂导致的弥漫性腹膜炎病例。一名74岁女性因腹痛及急性肾衰竭（ARF）的生化检查结果入院。她近期曾主诉肉眼血尿。她既往有子宫颈癌放疗史，以及帕金森病，曾用左旋多巴和金刚烷胺治疗。我们通过膀胱造影将该病例诊断为膀胱腹膜内破裂。ARF的生化检查结果可能是由于尿液重吸收所致。对于所有腹膜炎病例，尤其是伴有泌尿系统症状和ARF特征的患者，均应考虑膀胱腹膜内破裂的可能。
