Delayed spontaneous rupture of augmented bladder in children: diagnosis with sonography and CT
| Autor: | R. B. J. Glass, H. G. Rushton |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
Spontaneous rupture medicine.medical_specialty Time Factors Adolescent Urinary Bladder Cystography Postoperative Complications Ileum medicine Humans Radiology Nuclear Medicine and imaging Urinary Bladder Neurogenic Child Spinal Dysraphism Ultrasonography Urinary bladder Rupture Spontaneous medicine.diagnostic_test Spina bifida business.industry Peritoneal fluid Urinary Reservoirs Continent General Medicine medicine.disease Surgery medicine.anatomical_structure Acute abdomen medicine.symptom Tomography X-Ray Computed Complication business Augmented bladder |
| Zdroj: | American Journal of Roentgenology. 158:833-835 |
| ISSN: | 1546-3141 0361-803X |
| DOI: | 10.2214/ajr.158.4.1546602 |
| Popis: | With the increasing use of augmentation enterocystoplasty to treat patients with small-capacity, noncompliant bladders, an increase in the number of cases of delayed spontaneous intraperitoneal rupture of the augmented bladder has been reported. Although patients with a ruptured bladder usually will have an acute abdomen, these clinical signs and symptoms may be masked in spina bifida patients because of their neurologic deficit. Cystography and sonography were performed in four spina bifida patients with delayed spontaneous rupture of an augmented bladder. One patient also had isotope cystography. Two patients were examined with CT. Cystographic findings were abnormal in only one case. Peritoneal fluid was identified sonographically in all four cases and also was seen in both CT studies. Our study reveals that enhanced cystography will frequently fail to show leakage from an augmented bladder. Sonography and CT are reliable in detecting free intraperitoneal fluid, a finding that can significantly aid in the diagnosis of ruptured bladder after enterocystoplasty. Therefore, cystography with normal findings must be followed by sonography or CT in order to detect extravasated urine. |
| Databáze: | OpenAIRE |
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