膀胱自然破裂の1例

Abstract

Intraperitoneal rupture of the urinary bladder is a relatively rare condition. This is a report of such disease seen in a 48-year-old woman who developed intraperitoneal rupture of the bladder after nephrectomy on the right side for non-functioning kidney probably due to previous radical hysterectomy. Some interesting points in this case were as follows: 1) Past history was radical hysterectomy and radiation therapy 10 years prior to the pathological state of this time. 2) On the second postoperative day after nephrectomy, she developed abdominal distention, oliguria and azotemia; so paralytic ileus and acute renal failure were considered and the patient was watched as such for the beginning. 3) Diagnosis of intraperitoneal rupture of the bladder was established by analysis of the abdominal paracentesis fluid, cystoscopy and cystography. 4) Indwelling catheter was first placed trying conservative treatment, but perivesical absecess formation required surgical treatment.