What expression did bladder leak have?

summary

Although tuberculous spontaneous rupture of bladder is rare, it is the first in spontaneous rupture of bladder. The main cause of spontaneous rupture of bladder tuberculosis is the extensive and serious tuberculosis lesions in the bladder. Tuberculous inflammatory ulcer penetrates into the muscle layer and involves the whole layer of the bladder wall. At this time, if there are factors such as lower urinary tract obstruction, bladder contraction or sudden increase of intra-abdominal pressure, spontaneous rupture can be caused. What expression did bladder leak have? Now let me tell you something.

What expression did bladder leak have?

Symptom 1: the patient suddenly suffered from lower abdominal pain without trauma. After the attack, there was no urination or a small amount of hematuria. There was peritoneal irritation in the abdomen. But because it is a patient with tuberculous bladder, there is a history of tuberculosis, the symptoms of urinary tuberculosis, and the diagnostic basis of urinary tuberculosis before rupture.

Symptom 2: the patient suddenly has lower abdominal pain without trauma, no urination or a small amount of hematuria after attack, and abdominal peritoneum irritation. But because it is a patient with tuberculous bladder, there is a history of tuberculosis, the symptoms of urinary tuberculosis, and the diagnostic basis of urinary tuberculosis before rupture.

Symptom 3: if the bladder perfusion test is performed in the catheter, the amount of fluid injected may be significantly different from the amount of fluid withdrawn, or significantly reduced, or significantly increased. If the catheter enters the abdominal cavity from the rupture, a large amount of urine can be exported. If necessary, X-ray cystography can be used to make a definite diagnosis.

matters needing attention

The main reason of bladder tuberculosis self rupture is that the lesions of bladder tuberculosis often involve the whole layer of bladder. If there are factors such as lower pathway obstruction and sudden increase of intra-abdominal pressure, it can cause rupture. The spontaneous rupture of tuberculous bladder almost belongs to intraperitoneal type. The site of rupture is mostly in the top or posterior wall of bladder.