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Case report demonstrates delayed spontaneous bladder rupture in a patient following sigmoid colocystoplasty, highlighting the risks of late diagnosis and intraperitoneal abscess formation.
An 18-year-old girl had bladder extrophy managed by sigmoid cystoplasty with clean intermittent catheterization. Spontaneous bladder rupture occurred 12 months after reconstructive surgery. The diagnosis was made by ultrasound with abdominal tapping and cystography under fluoroscopy. Management included intravenous antibiotics, laparotomy and closure of the perforation. The diagnosis was delayed and postoperative intraperitoneal abscess formation occurred.
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Mansi et al. (1992) studied this question.
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