膀胱自然破壊の2例 (再発性破裂をきたした1例を含む)

Abstract

Although traumatic rupture of the urinary bladder is comm o nly encountered in the traumatological clinic, spontaneous rupture of this organ is a rare condition. Two cases of spontaneous rupture of the urinary bladder a r e reported. Both patients had neurogenic bladder, in which pelvic nerv e injury after abdominal hysterectomy with postoperative irradiation in one case and antidepressant medication for the depressive state in the other were thought to be the main cause in the pathogenesis of their ruptures. In the latter case, the intraperitoneal rupture recurred with an interval of ten months. Recovery after operative treatment was uneventful in both cases. It is important that spontaneous rupture of the urinary blad d er often shows only a sign of panperitonitis and so this condition must be taken into consideration in the differential diagnosis of acute abdomen.