[A case of recurrent spontaneous vesical rupture subsequent to irradiation for uterine cancer].
The patient, a 68-year-old woman, had undergone radical hysterectomy and post-operative radiotherapy for uterine cancer in 1974. She was admitted to our hospital complaining of abdominal pain in February, 1996. Contrast-enhanced computed tomographic scan and cystography showed leakage of contrast medium around the bladder. We diagnosed her with spontaneous vesical rupture, and performed conservative therapy. Two months later, she was re-admitted with recurrent vesical rupture. We again performed conservative therapy. We consider that conservative therapy can be indicated for spontaneous vesical rupture with good general condition and no severe urinary tract infection.
Takemura
H
H
Department of Urology, St. Marianna University School of Medicine.
Baba
K
K
Yajima
M
M
Yamakawa
K
K
Nishida
S
S
Iwamoto
T
T
D000368:Aged; D005260:Female; D006801:Humans; D011859:Radiography; D011878:Radiotherapy / Q000009:adverse effects*; D012008:Recurrence; D012422:Rupture, Spontaneous; D013997:Time Factors; D001745:Urinary Bladder Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014552:Urinary Tract Infections / Q000517:prevention & control; D014594:Uterine Neoplasms / Q000532:radiotherapy