Spontaneous rupture of the bladder in childhood: report of one case.
Perforation of the urinary bladder without history of antecedent trauma is a rare clinical occurrence in children, but should be considered in patients with voiding disorders, abdominal symptoms and unexplained metabolic disturbances. The present report concerns a young infant who presented with irritability, abdominal colic, decreased urine output; blood examinations showing mild leukocytosis, azotemia and metabolic acidosis. Further cystogram and cystoscopy confirmed rupture of the bladder. She had an uneventful recovery after a twelve days of conservative treatment with indwelling catheterization and nutritional support. A subsequent urogram revealed complete healing of the lesion.
Chen
W F
WF
Department of Pediatrics and Urology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Huang
S C
SC
Yu
T J
TJ
D005260:Female; D006801:Humans; D007223:Infant; D011859:Radiography; D012422:Rupture, Spontaneous; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000628:therapy*; D014546:Urinary Catheterization