Rupture of urachal diverticulum in radiation cystitis and neurogenic bladder dysfunction after radical hysterectomy
| Autor: | Hiroo Inoue, Osamu Nishizawa, Masako Kawakami, Kouji Koizumi, Yasuhiko Igawa |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Urology Hysterectomy Urachus Stoma (medicine) Cystitis medicine Humans Urinary Complication Urinary Bladder Neurogenic Radical Hysterectomy Radiation Injuries Neurogenic bladder dysfunction Urachal Diverticulum Rupture Spontaneous business.industry Urinary retention Transverse colon Middle Aged medicine.disease Surgery Diverticulum Female medicine.symptom business Continent Urinary Diversion |
| Zdroj: | International Journal of Urology. 11:919-921 |
| ISSN: | 1442-2042 0919-8172 |
| DOI: | 10.1111/j.1442-2042.2004.00899.x |
| Popis: | We experienced a rare case of the rupture of the urachal diverticulum in radiation cystitis and neurogenic bladder after radical hysterectomy. A 61-year-old woman presented with severe lower abdominal pain and urinary retention. Abdominal computed tomography revealed that the urachal remnant contained a large volume of urine that leaked to subcutaneous tissue. We excised the urachal diverticulum and bladder together and created a continent urinary diversion using transverse colon. Nine months after the operation, the patient could manage clean intermittent self-catheterization 6 times a day through her umbilical stoma without any urinary complications. |
| Databáze: | OpenAIRE |
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