Abstract
Background A 17-year-old male, with a history of bladder augmentation enterocystoplasty 7 years earlier, presented with nausea, emesis and acute abdomen.
Investigations Physical examination, blood and urine culture, and abdominal and pelvic CT cystography.
Diagnosis Acute abdomen from perforation of bladder augmentation.
Management Support and stabilization, bladder decompression, and broad-spectrum intravenous antibiotics, followed by immediate exploratory laparotomy with repair of enterocystoplasty and peritoneal lavage.
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Adams, W., Dairiki Shortliffe, L. Management of delayed bladder augmentation perforation. Nat Rev Urol 3, 341–344 (2006). https://doi.org/10.1038/ncpuro0509
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DOI: https://doi.org/10.1038/ncpuro0509
