Delayed bladder rupture after augmentation enterocystoplasty

H. G. Rushton, J. R. Woodard, T. S. Parrott, R. D. Jeffs, John Phillip Gearhart

Research output: Contribution to journalArticle

Abstract

Delayed bladder perforation with peritonitis following augmentation enterocystoplasty in children with spina bifida is a serious and potentially life-threatening complication. Our experience with 4 such cases is presented. All patients had spina bifida with a neuropathic bladder and they had undergone augmentation enterocystoplasty with a tubular colonic segment of large bowel as part of an undiversion procedure. All patients were being managed with intermittent self-catheterization. The interval from augmentation enterocystoplasty until presentation ranged from 6 months to 3 years. Diagnosis was dealyed in all cases, including 3 in which cystogram studies were normal despite findings of extravasation of urine at exploration. In 1 patient generalized sepsis developed with the respiratory distress syndrome and, subsequently, she died.

Original languageEnglish (US)
Pages (from-to)344-346
Number of pages3
JournalJournal of Urology
Volume140
Issue number2
StatePublished - 1988

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Rupture
Urinary Bladder
Spinal Dysraphism
Neurogenic Urinary Bladder
Peritonitis
Catheterization
Sepsis
Urine
Cystography

ASJC Scopus subject areas

  • Urology

Cite this

Rushton, H. G., Woodard, J. R., Parrott, T. S., Jeffs, R. D., & Gearhart, J. P. (1988). Delayed bladder rupture after augmentation enterocystoplasty. Journal of Urology, 140(2), 344-346.

Delayed bladder rupture after augmentation enterocystoplasty. / Rushton, H. G.; Woodard, J. R.; Parrott, T. S.; Jeffs, R. D.; Gearhart, John Phillip.

In: Journal of Urology, Vol. 140, No. 2, 1988, p. 344-346.

Research output: Contribution to journalArticle

Rushton, HG, Woodard, JR, Parrott, TS, Jeffs, RD & Gearhart, JP 1988, 'Delayed bladder rupture after augmentation enterocystoplasty', Journal of Urology, vol. 140, no. 2, pp. 344-346.
Rushton HG, Woodard JR, Parrott TS, Jeffs RD, Gearhart JP. Delayed bladder rupture after augmentation enterocystoplasty. Journal of Urology. 1988;140(2):344-346.
Rushton, H. G. ; Woodard, J. R. ; Parrott, T. S. ; Jeffs, R. D. ; Gearhart, John Phillip. / Delayed bladder rupture after augmentation enterocystoplasty. In: Journal of Urology. 1988 ; Vol. 140, No. 2. pp. 344-346.
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