Korean J Urol.  2007 Nov;48(11):1186-1189. 10.4111/kju.2007.48.11.1186.

Delayed Spontaneous Rupture of an Orthotopic Ileal Neobladder

• Lee CY
• Jung SG
• Park SW
• Lee W
• Chung MK

• KMID: 1997100
• DOI: http://doi.org/10.4111/kju.2007.48.11.1186

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.

Keyword

Rupture; Bladder; Ileum

MeSH Terms

Cystectomy
Ileum
Korea
Rupture
Rupture, Spontaneous*
Urinary Bladder
Urinary Bladder Neoplasms
Urinary Diversion

Figure

• 

  Fig. 1 Cystogram shows an intact neobladder with no evidence of contrast medium leakage.

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  Fig. 2 Computed tomography reveals delayed extravasation of contrast material from the left superior aspect of the perforated neobladder.

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