Spontaneous bladder perforation in paraplegia as a late complication of augmentation enterocystoplasty: Case report

Christopher J. Rogers, Douglas B. Barber, Walter H. Wade

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

The management of spinal cord injured (SCI) patients with small capacity, noncompliant bladders has focused on the preservation of renal function and social continence. When conservative management is unsuccessful, surgical intervention may prove beneficial. Augmentation enterocystoplasty is a reliable method of achieving increased bladder capacity while decreasing intravesical filling pressure. Spontaneous bladder rupture is a rare complication of augmentation enterocystoplasty. Because the urine is often colonized with bacteria, bladder rupture may result in chemical and bacterial peritonitis, which is associated with a 25% mortality rate SCI patients may not present with the classic signs of an acute abdomen. Early diagnosis is critical so that aggressive management may be instituted. The case of late spontaneous perforation of an augmentation enterocystoplasty in a 33-year- old man with T7 complete paraplegia is presented, and the literature discussing the etiology, diagnosis, management, and prevention of augmented bladder perforation is reviewed.

Original languageEnglish (US)
Pages (from-to)1198-1200
Number of pages3
JournalArchives of Physical Medicine and Rehabilitation
Volume77
Issue number11
DOIs
StatePublished - Nov 1996

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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