Management of delayed bladder augmentation perforation.
BACKGROUND
A 17-year-old male, with a history of bladder augmentation enterocystoplasty 7 years earlier, presented with nausea, emesis and acute abdomen.


METHODS
Physical examination, blood and urine culture, and abdominal and pelvic CT cystography.


METHODS
Acute abdomen from perforation of bladder augmentation.


RESULTS
Support and stabilization, bladder decompression, and broad-spectrum intravenous antibiotics, followed by immediate exploratory laparotomy with repair of enterocystoplasty and peritoneal lavage.
Adams
Winifred
W
Stanford University Medical Center, Palo Alto, CA, USA.
Dairiki Shortliffe
Linda M
LM
D000293:Adolescent; D003558:Cystoscopy; D003559:Cystostomy / Q000009:adverse effects; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012086:Reoperation; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D014549:Urinary Incontinence / Q000601:surgery