Bladder rupture secondary to bladder tumors: A gateway to peritoneal carcinoma ?

继发于膀胱肿瘤的膀胱破裂 ： 腹膜癌的门户 ？

• 发表时间: 2024 Jul
• 来源期刊: Urol Case Rep
• DOI: 10.1016/j.eucr.2024.102767
• PMID: 38989290
• 文章类型: Case Reports
• 作者列表: Maachi Y,Maachi M,Babty M,Mesmoudi S,El Khader K,Koutani A,Bernoussi Z,Iben Attya Andaloussi A

关键词: Bladder rupture; Bladder tumor; Carcinosis

Abstract

We report a case of spontaneous bladder rupture due to bladder carcinoma. A 62-year-old man presented to the emergency department with acute urine retention; two days later, the patient presented with abdominal distension and a large intraperitoneal effusion on CT scan, as well as a breccia in the bladder. Exploratory laparotomy confirmed a definitive diagnosis: bladder rupture due to bladder carcinoma. He underwent radical cystectomy. Surgery is recommended to treat carcinomatous bladder rupture. Rapid diagnosis is essential to optimize patient outcomes. The possibility of spontaneous bladder rupture should not be overlooked as a differential diagnosis in cases of acute abdomen.

摘要

我们报告一例由于膀胱癌引起的自发性膀胱破裂。一名62岁的男子因急性尿潴留出现在急诊科；两天后，患者在CT扫描中出现腹胀和大量腹腔积液，还有膀胱里的角砾岩.剖腹探查术证实了明确的诊断：膀胱癌引起的膀胱破裂。他接受了根治性膀胱切除术。建议手术治疗癌性膀胱破裂。快速诊断对于优化患者预后至关重要。在急腹症病例中，不应忽视自发性膀胱破裂的可能性作为鉴别诊断。