間質性膀胱炎/膀胱疼痛症候群進行膀胱水擴張術中發生膀胱破裂之案例報告

簡維弘、李明輝、劉明岳、吳惠卿

衛生福利部苗栗醫院 泌尿科

Bladder rupture during hydrodistention for interstitial cystitis/bladder pain syndrome

Wei-Hung Chien, Ming-Huei Lee, Ming Yueh Liu, Huei-Ching Wu

Department of Urology, Miao-Li Hospital, Ministry of Health & Welfare, Taiwan

Abstract:

We presented two cases of bladder rupture during hydrodistention treatment for IC/BPS. The first patient had no Hunner ulcer and suffered extra-peritoneal bladder rupture. In contrast, the second patient was found positive for Hunner ulcer and had intra-peritoneal bladder rupture. Both patients were managed conservatively. The second patient even forgoing peritoneal drainage, and removed Foley catheter after just 3 days post-surgery.

Bladder rupture was one of the more severe complications following hydrodistention treatment for IC/BPS. The reported incidence was between 0% and 9.5%. This report was the most detailed clinical course and management for this type of complication, and provided examples for early identification and shortened course of treatment.