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Lower abdominal phlegmon due to spontaneous rupture of an ileal neobladder
Author(s) -
Takenaka Atsushi,
Yamada Yuji,
Tanaka Kazushi,
Minami Rieko,
Yamanaka Nozomu
Publication year - 2001
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1046/j.1442-2042.2001.00246.x
Subject(s) - phlegmon , medicine , laparotomy , perforation , computed tomography , extravasation , surgery , radiology , materials science , punching , metallurgy , immunology
A case is presented of spontaneous rupture of an ileal orthotopic neobladder due to a large residual urine volume. The present case is the 13th such case reported; however, this case is the first to show lower abdominal phlegmon and in which the perforation site was detected using computed tomography scanning. The indications for neobladder should be considered with great care. If spontaneous rupture is suspected, an early diagnosis of the perforation site and a measure of the extravasation volume using computed tomography are necessary. Appropriate treatment should include laparotomy.