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Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
Published on: August 9, 2012
Management of delayed bladder augmentation perforation
Winifred Adams1, Linda M Dairiki Shortliffe
1Stanford University Medical Center, Palo Alto, CA, USA.
Insights
A 17-year-old male with a history of bladder augmentation enterocystoplasty experienced acute abdomen due to perforation. Prompt surgical repair and supportive care were crucial for recovery.
Area of Science:
- Urology
- Surgical Innovation
- Pediatric Surgery
Background:
- A 17-year-old male with a history of bladder augmentation enterocystoplasty presented with symptoms of acute abdomen.
- This case highlights a rare but serious complication following bladder augmentation surgery.
Observation:
- The patient presented with nausea, emesis, and acute abdominal pain.
- Diagnostic investigations included physical examination, blood and urine cultures, and CT cystography.
Findings:
- The diagnosis was acute abdomen secondary to perforation of the bladder augmentation.
- The perforation required immediate surgical intervention.
Implications:
- This case underscores the importance of vigilant monitoring for complications after bladder augmentation.
- Timely diagnosis and surgical management are critical for favorable outcomes in bladder augmentation complications.
Background:
A 17-year-old male, with a history of bladder augmentation enterocystoplasty 7 years earlier, presented with nausea, emesis and acute abdomen.
Investigations:
Physical examination, blood and urine culture, and abdominal and pelvic CT cystography.
Diagnosis:
Acute abdomen from perforation of bladder augmentation.
Management:
Support and stabilization, bladder decompression, and broad-spectrum intravenous antibiotics, followed by immediate exploratory laparotomy with repair of enterocystoplasty and peritoneal lavage.
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