| Qian Shen,Yuping Yin,Lihong Zhang,Dongbo Liu,Shiying Yu,Huihua Xiong,Xianglin Yuan,Yongsheng Jiang. Recurrent ascites due to spontaneous intraperitoneal bladder rupture after pelvic radiation therapy for cervical cancer. Oncol Transl Med, 2018, 4: 72-75. |
| Recurrent ascites due to spontaneous intraperitoneal bladder rupture after pelvic radiation therapy for cervical cancer |
| Recurrent ascites due to spontaneous intraperitoneal bladder rupture after pelvic radiation therapy for cervical cancer |
| Received:April 13, 2018 Revised:May 09, 2018 |
| DOI：10.1007/s10330-018-0271-1 |
| 中文关键词: Radiation cystitis, Spontaneous intraperitoneal bladder rupture, Recurrent ascites, Cervical cancer |
| 英文关键词: radiation cystitis; spontaneous intraperitoneal bladder rupture; recurrent ascites; cervical cancer |
| 基金项目: |
| Author Name | Affiliation | E-mail | | Qian Shen | Department of Oncology,Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Road, Wuhan, China, 430030. | shenqianoncology@163.com | | Yuping Yin | Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology | | | Lihong Zhang | Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology | | | Dongbo Liu | Department of Oncology,Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology | | | Shiying Yu | Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology | | | Huihua Xiong | Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology | | | Xianglin Yuan | Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology | | | Yongsheng Jiang* | Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology | ysjiang.china@163.com |
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| 中文摘要: |
| Background:
Radiation cystitis is one of the major complications following radiotherapy for cervical cancer patients. However, spontaneous intraperitoneal bladder rupture as a result of radiation cystitis following radiotherapy for cervical cancer is extremely rare.
Case presentation:
We report a 52-year-old patient who received radiation therapy due to the diagnosis with cervical cancer 15 years ago. And from 8 years ago, the patient presented with recurrent abdominal distension, oliguria and ascites. Following the ascites extraction and supportive treatment, all the symptoms can be relieved. But every few months, all symptoms above returned. The patient had been subjected to exploratory laparotomy twice. The first time exploratory laparotomy found no special abnormalities in July 2015. For the second time, in November 2016, the intraperitoneal bladder rupture was finally found, and the patient underwent surgical repair. From then on, the ascites was totally cured.
Conclusion:
The occurrence of spontaneous intraperitoneal bladder rupture after radiation therapy for cervical cancer patients is rare. The prognosis for this disease is good when it can be diagnosed and treated promptly. |
| 英文摘要: |
| Radiation cystitis is one of the major complications following radiotherapy for cervical cancer. However, spontaneous intraperitoneal bladder rupture as a result of radiation cystitis following radiotherapy for cervical cancer is extremely rare. Case presentation: We report a 52-year-old patient who received radiation therapy for cervical cancer 15 years prior to presentation. Eight years prior to presentation, she developed recurrent abdominal distension, oliguria, and ascites. Following ascites drainage and supportive treatment, all symptoms were relieved. However, all symptoms subsequently recurred every few months. The patient underwent exploratory laparotomy twice. The first exploratory laparotomy in July 2015 found no specific abnormalities. The second exploratory laparotomy in November 2016 found an intraperitoneal bladder rupture, and the patient underwent surgical repair. The ascites subsequently resolved. Conclusion: The occurrence of spontaneous intraperitoneal bladder rupture after radiation therapy for cervical cancer is rare. The prognosis is good when diagnosis and treatment are prompt.
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