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Title: 大腸癌脊椎転移による膀胱破裂を契機に発症した汎発性腹膜炎の1例
Other Titles: A Case of Panperitonitis Due to Bladder Rupture Caused by Spinal Metastasis of Colorectal Cancer
Authors: 松川, 敦紀  KAKEN_name
上田, 倫央  KAKEN_name
水野, 稜也  KAKEN_name
秋山, 舞  KAKEN_name
佐藤, 元孝  KAKEN_name
鄭, 則秀  KAKEN_name
三宅, 修  KAKEN_name
Author's alias: MATSUKAWA, Atsuki
UEDA, Norichika
SATO, Mototaka
TEI, Norihide
Keywords: Spinal metastasis
Bladder rupture
Issue Date: 31-Aug-2022
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 68
Issue: 8
Start page: 271
End page: 275
Abstract: A 74-year-old patient was undergoing treatment for ascending colon cancer (cT4aN2M1a) in the Department of Surgery at our hospital. During treatment for increased lymph node metastasis and spinal metastasis, she complained of numbness in her dorsal thigh. Magnetic resonance imaging showed spinal canal stenosis due to L4 bone metastasis. Immediately after starting radiation therapy for L4 bone metastasis, bladder rupture occurred and led to generalized peritonitis. We performed emergency laparotomy and drainage. Later, the patient's general condition improved, but irreversible neurological symptoms remained, and activities of daily living decreased markedly. This was thought to be caused by weakening of the bladder wall due to chronic cystitis, and hyperextension of the bladder due to neurogenic bladder. Bacteriuria leaked into the abdominal cavity, resulting in generalized peritonitis.
Rights: 許諾条件により本文は2023-09-01に公開
DOI: 10.14989/ActaUrolJap_68_8_271
PubMed ID: 36071019
Appears in Collections:Vol.68 No.8

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