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タイトル: | 膀胱自然破裂により汎発性腹膜炎を呈した1例 |
その他のタイトル: | A Case of Panperitonitis Caused by Spontaneous Bladder Rupture |
著者: | 栗栖, 知世 田中, 俊明 岡田, 学 橋本, 浩平 小林, 皇 福多, 史昌 吉田, 瑛司 奥谷, 浩一 竹政, 伊知朗 舛森, 直哉 |
著者名の別形: | Kurisu, Tomoyo Tanaka, Toshiaki Okada, Manabu Hashimoto, Kouhei Kobayashi, Kou Fukuta, Fumimasa Yoshida, Eiji Okuya, Kouichi Takemasa, Ichiro Masumori, Naoya |
キーワード: | Spontaneous bladder rupture Panperitonitis Diabetes mellitus |
発行日: | 31-Jul-2020 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 66 |
号: | 7 |
開始ページ: | 235 |
終了ページ: | 238 |
抄録: | A female septuagenarian had poorly controlled diabetes mellitus for more than 20 years. She had persistent pyuria, but did not seek further examination. In 2019, she was transported to our hospital by ambulance for sudden abdominal pain. Physical examination showed a sign of panperitonitis with sepsis. Computed tomography showed ascites and intraperitoneal free air. In addition, there was also a defect in the bladder wall, suggesting bladder rupture. Blood tests showed a marked increase in serum creatinine in addition to increased inflammatory reactants. Because perforation of gastrointestinal tract could not be excluded, an emergency laparotomy was performed. An intraperitoneal perforation of the posterior wall of the bladder was revealed, though there was no intestinal damage. The bladder wall was repaired and cystostomy was performed followed by irrigation and drainage of the abdominal cavity. After the operation, her abdominal symptom resolved and her general status improved. We speculated that voiding disturbance due to neurogenic bladder associated with diabetes mellitus and chronic infection caused the spontaneous bladder rupture. Most cases of spontaneous bladder rupture are associated with a history of pelvic surgery or irradiation, which suggests that this case is extremely rare. In patients with repeated urinary tract infection and underlying disease affecting bladder function, evaluation and appropriate management of bladder dysfunction should be performed ; otherwise, spontaneous bladder rupture may occur. |
著作権等: | 許諾条件により本文は2021/08/01に公開 |
DOI: | 10.14989/ActaUrolJap_66_7_235 |
URI: | http://hdl.handle.net/2433/252948 |
PubMed ID: | 32723979 |
出現コレクション: | Vol.66 No.7 |
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