Delayed bladder rupture after augmentation enterocystoplasty

H. G. Rushton, J. R. Woodard, T. S. Parrott, R. D. Jeffs, J. P. Gearhart

Research output: Contribution to journalArticlepeer-review

71 Scopus citations


Delayed bladder perforation with peritonitis following augmentation enterocystoplasty in children with spina bifida is a serious and potentially life-threatening complication. Our experience with 4 such cases is presented. All patients had spina bifida with a neuropathic bladder and they had undergone augmentation enterocystoplasty with a tubular colonic segment of large bowel as part of an undiversion procedure. All patients were being managed with intermittent self-catheterization. The interval from augmentation enterocystoplasty until presentation ranged from 6 months to 3 years. Diagnosis was dealyed in all cases, including 3 in which cystogram studies were normal despite findings of extravasation of urine at exploration. In 1 patient generalized sepsis developed with the respiratory distress syndrome and, subsequently, she died.

Original languageEnglish (US)
Pages (from-to)344-346
Number of pages3
JournalJournal of Urology
Issue number2
StatePublished - 1988
Externally publishedYes

ASJC Scopus subject areas

  • Urology


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