自然膀胱破裂によると考えられる腹水貯留の1例  [in Japanese] A CASE OF URINARY ASCITES PROBABLY CAUSED BY SPONTANEOUS BLADDER RUPTURE  [in Japanese]

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Abstract

患者は68歳女性で13年前に広汎子宮摘出術と放射線治療を施行された. 1992年と1993年に腹膜炎で入院し, 2回目の入院時の腹水の生化学所見が尿の組成に近かったため尿路系からの溢流を疑われ泌尿器科を受診した. IVP上, 上部尿路に異常はなく, 膀胱造影, 膀胱鏡上も明らかな膀胱破裂は認められなかったが, 尿流動態検査上, 多量の残尿と尿意の異常, 低コンプライアンスが認められた. これらの結果から, 広汎子宮摘出術による神経因性膀胱と放射線照射による膀胱障害を基盤とした自然膀胱破裂が腹膜炎の原因として強く疑われた.

The patient was a 68-year-old woman, who had underwent radical hysterectomy and postoperative radiation therapy thirteen years ago, and suffered from typical symptoms of panperitonitis in 1992 and 1993. Based upon laboratory findings of ascites, intraperitoneal urinary extravasation was suspected as the cause of panperitonitis. However, IVP, cystography, cystoscopy could not show the direct evidence of extravasation. On urodynamic study, poor flow rate, large postvoided residual urine, disturbance of the bladder sensation, and low compliance were present. We considered the neurogenic bladder dysfunction and detrusor weakness due to the previous radical hysterectomy and radiation therapy as the possible causal factors of spontaneous bladder rupture causing urinary extravasation from the bladder in this case.

Journal

  • The Japanese Journal of Urology

    The Japanese Journal of Urology 86(6), 1177-1180, 1995-06-20

    The Japanese Urological Association

References:  12

Cited by:  3

Codes

  • NII Article ID (NAID)
    110003088745
  • NII NACSIS-CAT ID (NCID)
    AN00196577
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    00215287
  • Data Source
    CJP  CJPref  NII-ELS  J-STAGE 
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