失張性膀胱：病例報告及文獻回顧
朱懿柏1、蔡德甫1,2、黃一勝1,2
1新光吳火獅紀念醫院 外科部 泌尿科
2輔仁大學 醫學系
Case report: A giant atonic bladder with more than 5000mL in volume
Yi-Bo Chu1, Te-Fu Tsai1,2, Thomas I.S. Hwang1,2
1Division of Urology, Department of Surgery, Shin Kong WHS Memorial Hospital
2School of Medicine, Fu-Jen Catholic University
Abstract:
The urinary bladder is a structure with autonomic nerve innervation for the empty function. Multiple conditions will affect the function, like old age, spinal cord injury, infection, and bladder outlet obstruction. The detrusor muscle become hypocontractile and fail to empty. However, the certain pathogenesis is unknown. Urinary retention is a common sign in the patients with hypotonic bladder. We present a 65-year-old male with asymptomatic giant atonic bladder who only complained with abdominal fullness. The CT revealed an enlarged prostate, and an extremely distended bladder to pancreatic level and the volume was estimated more than 5000mL.