Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
A Case of Rupture of the Bladder Caused by Chronic Cystitis with Intestinal Obstruction
Tomoko TanakaYoshihiro KurisuShinji AkagiMikihiro KanouYusuke WatadaniKunio Toge
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2008 Volume 28 Issue 7 Pages 973-976

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Abstract

The patient was an 88-year-old female who had been hospitalized with a urethral catheter. She was admitted to our hospital with the chief complaint of abdominal pain and abdominal tenderness. Abdominal CT scan showed ascites and dilatation of the intestinal tract. Gastrointestinal perforation was suggested and an emergency operation was performed on the same day. No apparent perforation was seen in the intestines, but rupture of the bladder was identified. The perforated site in the of bladder was closed with sutures and an indwelling catheter was inserted from the bladder to the bilateral renal pelvis. The postoperative course was uneventful, and the patient was discharged on Day 21. There have been few reports in which chronic cystitis has caused bladder perforation, and the present case is presented with some bibliographical comments.

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© 2008 Japanese Society for Abdominal Emergency Medicine
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