Perforation of the gastric segment of an augmented bladder secondary to peptic ulcer disease.
Gastrocystoplasty consists of bladder augmentation using part of the gastric body. We describe a child in whom peptic ulcer disease developed in the gastric portion of the bladder, with subsequent perforation of the ulcer. Chronic renal failure, hypercalcemia and oliguria are potential ulcerogenic conditions commonly present in patients with gastrocystoplasty. Perforation of the ulcer is a potentially fatal complication. Periodic cystoscopy and prophylactic treatment with hydrogen blockers and alkalization of the urine should be considered in patients with those risk factors.
Reinberg
Y
Y
Department of Urologic Surgery, University of Minnesota Hospital and Clinic, Minneapolis.
Manivel
J C
JC
Froemming
C
C
Gonzalez
R
R
D002675:Child, Preschool; D005260:Female; D006801:Humans; D010439:Peptic Ulcer Perforation / Q000209:etiology*; D011859:Radiography; D013270:Stomach / Q000637:transplantation*; D014182:Transplantation, Autologous / Q000009:adverse effects*; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014718:Vesico-Ureteral Reflux / Q000601:surgery