[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.
The Department of Urology, Kobe City General Hospital.
Yusuke
Y
Shiraishi
Seiji
S
Moroi
Hiromitsu
H
Negoro
Hiroshi
H
Iwamura
Hiroya
H
Oka
Mutsushi
M
Kawakita
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