[Spontaneous rupture of the urinary bladder in a woman with radiation cystitis: a case report].
A 79-year-old woman was admitted to our hospital with gross hematuria and abdominal pain. She had had a uterine cancer 11 years previously and received 56 Gy 60Co external irradiation combined with 129 Gy 137Cs internal irradiation. She had a sign of pan-peritonitis. An emergency operation revealed an intraperitoneal rupture of the dome of the urinary bladder 8 cm in length. Because a primary suturing of the bladder wall was unsuccessful, bilateral cutaneous ureterostomy was performed. Histologically, the ruptured bladder wall showed a mucosal erosion and fibrosis of the muscle layer.
Kurizaki
Y
Y
Department of Urology, Kofu Municipal Hospital.
Ishizuka
O
O
D000368:Aged; D003556:Cystitis / Q000150:complications*; D005260:Female; D006801:Humans; D011832:Radiation Injuries / Q000150:complications*; D011878:Radiotherapy / Q000009:adverse effects; D012422:Rupture, Spontaneous; D001745:Urinary Bladder Diseases / Q000209:etiology*; D014594:Uterine Neoplasms / Q000532:radiotherapy