[Squamous cell carcinoma of the bladder presenting with bladder rupture: a case report].
A 71-year-old woman with pan-peritonitis was transferred to our hospital. Imaging studies showed the extravasation of contrast medium from the bladder to the intraperitoneal cavity, the right non-visualizing kidney and the left hydronephrosis. Cystoscopy revealed bladder stones and a fistula at the posterior wall of the bladder. A histological examination of specimen around the fistula revealed squamous cell carcinoma(SCC) with stromal invasion. Symptoms of peritonitis subsided following the placement of bilateral ureteral catheters and a urethral catheter. Because a laparotomy revealed peritonitis-carcinomatosa, she underwent bilateral ureterocutaneostomies, the removal of the bladder stones and the primary closure of the fistula. She died on the 42nd day after surgery.
Shiraishi
Yusuke
Y
The Department of Urology, Kobe City General Hospital.
Moroi
Seiji
S
Negoro
Hiromitsu
H
Iwamura
Hiroshi
H
Oka
Hiroya
H
Kawakita
Mutsushi
M
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D010538:Peritonitis / Q000150:complications; D011859:Radiography; D012422:Rupture, Spontaneous; D001744:Urinary Bladder Calculi / Q000150:complications / Q000601:surgery; D001745:Urinary Bladder Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000379:methods