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Management of delayed bladder augmentation perforation. | LitMetric
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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