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| 篇名 |
Iatrogenic Bladder Rupture Presenting with Diffuse Subcutaneous Emphysema |
| 作者 |
Cheng-Li Kao, Yen-Tsung Fu, Sheng-Chieh Chou, Philip-Hu, Sheng-Chuan His, Huan-Yun Liu |
| 卷期/出版年月 |
42卷5期 (2009/10) |
| 頁次 |
268-271 |
| 摘要 |
Iatrogenic bladder rupture is not an uncommon complication, especially during
transurethral endoscopic procedures. Gross hematuria is the most frequent
indication, along with lower abdominal pain and inability to void. However,
subcutaneous emphysema is a rare sign of bladder perforation and can lead to
misdiagnosis, especially when associated with acute abdomen. Here, we describe an
uncommon case of iatrogenic bladder perforation presenting with
pneumoperitoneum and diffuse subcutaneous emphysema. The patient underwent
urethrocystoscopy and cystoscopic evacuation of blood clots after which abdominal
pain was present. A computed tomography (CT) scan revealed diffuse subcutaneous
emphysema in the abdomen, chest, and neck as well as pneumoperitoneum, but no
pneumothorax or intraperitoneal fluid accumulation was identified. Intraperitoneal
bladder perforation was confirmed by diagnostic laparoscopy, and open repair was
performed. The patient recovered well after surgical repair, and the subcutaneous
emphysema resolved a few days latter |
| 關鍵詞 |
urinary bladder rupture, subcutaneous emphysema, acute abdomen |
| 分類 |
Case Report |
|
