A Case of Panperitonitis Due to Bladder Rupture Caused by Spinal Metastasis of Colorectal Cancer
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- MATSUKAWA Atsuki
- The Department of Urology, Toyonaka Municipal Hospital
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- UEDA Norichika
- The Department of Urology, Toyonaka Municipal Hospital
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- MIZUNO Ryoya
- The Department of Urology, Toyonaka Municipal Hospital
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- AKIYAMA Mai
- The Department of Urology, Toyonaka Municipal Hospital
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- SATO Mototaka
- The Department of Urology, Toyonaka Municipal Hospital
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- TEI Norihide
- The Department of Urology, Toyonaka Municipal Hospital
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- MIYAKE Osamu
- The Department of Urology, Toyonaka Municipal Hospital
Bibliographic Information
- Other Title
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- 大腸癌脊椎転移による膀胱破裂を契機に発症した汎発性腹膜炎の1例
- ダイチョウ ガン セキツイ テンイ ニ ヨル ボウコウ ハレツ オ ケイキ ニ ハッショウ シタ ハンハツセイ フクマクエン ノ 1レイ
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Abstract
A 74-year-old patient was undergoing treatment for ascending colon cancer (cT4aN2M1a) in the Department of Surgery at our hospital. During treatment for increased lymph node metastasis and spinal metastasis, she complained of numbness in her dorsal thigh. Magnetic resonance imaging showed spinal canal stenosis due to L4 bone metastasis. Immediately after starting radiation therapy for L4 bone metastasis, bladder rupture occurred and led to generalized peritonitis. We performed emergency laparotomy and drainage. Later, the patient's general condition improved, but irreversible neurological symptoms remained, and activities of daily living decreased markedly. This was thought to be caused by weakening of the bladder wall due to chronic cystitis, and hyperextension of the bladder due to neurogenic bladder. Bacteriuria leaked into the abdominal cavity, resulting in generalized peritonitis.
Journal
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- 泌尿器科紀要
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泌尿器科紀要 68 (8), 271-275, 2022-08-31
泌尿器科紀要刊行会
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Keywords
Details 詳細情報について
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- CRID
- 1390575031121156224
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- NII Book ID
- AN00208315
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- HANDLE
- 2433/276222
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- NDL BIB ID
- 032337174
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- ISSN
- 00181994
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- Text Lang
- ja
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- Data Source
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- JaLC
- IRDB
- NDL
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- Abstract License Flag
- Allowed