Abstract
We present herein on a case of a spontaneous bladder rupture after radiation with a review of the relevant literature. A 68-year-old female was admitted to our hospital for sudden onset lower abdominal pain. She had undergone a radical hysterectomy for uterine cervical cancer and received post-operative concurrent radiation therapy 23 years previously. Her abdominal pain suddenly increased two hours after admission, and leukopenia and metabolic acidosis occurred consecutively. The abdominal CT showed the ascitic onset, and the patient went into shock. An emergency laparotomy was performed with a diagnosis of strangulation ileus and/or bowel perforation. We noted perforation in the cupular part of the bladder, and a primary closure was made. The postoperative course was uneventful. Whenever diagnosing a patient with the acute peritonitis symptoms, who had previously received irradiation of the lower abdominal region, we should consider the possibility of urinary bladder rupture.
