Abstract
We experienced a case of intraperitoneal spontaneous rupture of the urinary bladder due to radiation cystitis thirty one years after the patient had undergone radiation therapy for uterine cancer. A 96-year-old woman was admitted to our hospital with acute abdominal pain. She had undergone radiation therapy for uterine cancer 31 years earlier. Because panperitonitis was suspected, an emergency laparotomy was performed. At laparotomy, no apparent perforation was seen in the gastrointestinal tract, but rupture of the bladder was identified. It was too difficult to suture the perforation site directly, so we performed closure of the perforation site with the greater omentum. In a review of the published literature from 1969 to 2010 in Japan, 50 cases of intraperitoneal spontaneous rupture of the bladder associated with radiation cystitis, including our case, have been reported. Our case was the oldest patient in whom the patient's life was saved. We believe that the experience associated with this case is very valuable, so we report on it herein.
