Delayed Spontaneous Rupture of an Orthotopic Ileal Neobladder

Chang Yell Lee; Suk Gun Jung; Sung Woo Park; Wan Lee; Moon Kee Chung

doi:10.4111/kju.2007.48.11.1186

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Lee, Jung, Park, Lee, and Chung: Delayed Spontaneous Rupture of an Orthotopic Ileal Neobladder

Case Report

Korean Journal of Urology

Korean Journal of Urology 2007; 48(11): 1186-1189.

Published online: 30 November 2007

DOI: https://doi.org/10.4111/kju.2007.48.11.1186

Delayed Spontaneous Rupture of an Orthotopic Ileal Neobladder

Chang Yell Lee, Suk Gun Jung, Sung Woo Park, Wan Lee, Moon Kee Chung

Department of Urology, Pusan National University College of Medicine, Busan, Korea.

Corresponding author (mkchung@pusan.ac.kr)

Received 6 July 2007 Accepted 18 August 2007

Abstract

Orthotopic bladder replacement using detubularized ileum has become a popular form of continent urinary diversion after performing radical cystectomy for treating invasive bladder cancer. Delayed spontaneous rupture of an orthotopic ileal bladder has rarely been reported in the English literature and it has never been reported in Korea. We describe here a case of delayed spontaneous rupture of an ileal orthotopic neobladder secondary to overdistension, and this was successfully managed nonoperatively.

Keywords: Rupture, Bladder, Ileum

Figures and Tables

Fig. 1

Cystogram shows an intact neobladder with no evidence of contrast medium leakage.

Fig. 2

Computed tomography reveals delayed extravasation of contrast material from the left superior aspect of the perforated neobladder.

Table 1

Patient characteristics and rupture episodes

^*: stage of bladder cancer at cystectomy according to the UICC classification, ^†: not applicable, ^‡: mucosal margins at site of rupture examined histologically, ^§: time after cystectomy when spontaneous rupture occurred, ^∥: radiologic diagnosis of the leak, ^¶: present case

References

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