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タイトル: セカンドTUR 後のBCG 膀胱内注入治療中に努責により膀胱破裂を発症した1例
その他のタイトル: Bladder Rupture during Intravesical BCG Therapy : A Case Report
著者: 家村, 友輔  KAKEN_name
福井, 真二  KAKEN_name
松村, 善昭  KAKEN_name
影林, 頼明  KAKEN_name
豊島, 優多  KAKEN_name
井上, 剛志  KAKEN_name
三馬, 省二  KAKEN_name
著者名の別形: Iemura, Yusuke
Fukui, Shinji
Matsumura, Yoshiaki
Kagebayashi, Yoriaki
Toyoshima, Yuta
Inoue, Takeshi
Samma, Shoji
キーワード: Bacillus Calmette-Guerin
Bladder perforation
Second TURBT
発行日: 31-Jan-2018
出版者: 泌尿器科紀要刊行会
誌名: 泌尿器科紀要 = Acta urologica Japonica
巻: 64
号: 1
開始ページ: 25
終了ページ: 28
抄録: A 69-year-old man received transurethral resection (TUR) ofbladder tumor. The histopathological diagnosis was urothelial carcinoma, high grade, pT1+pTis. The surgical specimens obtained by second TUR showed no residual malignancy histopathologically. Intravesical Bacillus Calmette-Guerin (BCG) instillation therapy was initiated 2 months after the second TUR. He complained of lower abdominal pain and painful urination on the day following the second instillation of BCG. Computed tomography and cystography demonstrated rupture ofthe urinary bladder. During 2 weeks ofconservative treatment, the symptoms persisted. Then, open repair ofthe bladder was performed. Intravesical BCG therapy has been a widely accepted treatment for bladder cancer with high grade Ta and T1, and carcinoma in situ. In the present case, thinning ofthe bladder wall, delayed wound healing caused by 2 TURs, and abdominal pressure may have been the factors leading to the bladder rupture in addition to inflammation of the bladder due to BCG instillation. Although bladder rupture caused by intravesical BCG therapy has not been reported, we must be aware ofthe possibility ofthis rare condition, especially after 2 consecutive TURs.
著作権等: 許諾条件により本文は2019/02/01に公開
DOI: 10.14989/ActaUrolJap_64_1_25
URI: http://hdl.handle.net/2433/229474
PubMed ID: 29471601
出現コレクション:Vol.64 No.1

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