urmjУральский медицинский журналUral Medical Journal2949-4389Ural State Medical University10.52420/umj.25.4.121GYGGVSurmj-2296Research ArticleКлинические случаи | Clinical casesClinical casesНетравматический (спонтанный) разрыв мочевого пузыря через год после лапароскопической резекции по поводу инфильтративного эндометриозаNon-traumatic (Spontaneous) Rupture of the Bladder One Year After Laparoscopic Resection for Infiltrating Endometriosishttps://orcid.org/0009-0002-1976-5591МурзинМ. О.MurzinM. O.

Михаил Олегович Мурзин  – кандидат медицинских наук, доцент кафедры онкологии и лучевой диагностики, институт хирургии, Уральский государственный медицинский университет, Екатеринбург, Россия; уролог урологического отделения

Екатеринбург

Mikhail O. Murzin – Candidate of Sciences (Medicine), Associate Professor of the Department of Oncology and Radiation Diagnostics, Institute of Surgery ; Urologist of the Department of Urology

Ekaterinburg

dr.murzin@gmail.comhttps://orcid.org/0000-0002-6455-0410ФранкМ. А.FrankM. A.

Михаил Александрович Франк – доктор медицинских наук, профессор кафедры урологии, нефрологии и трансплантологии, институт хирургии; уролог урологического отделения

Екатеринбург

Mikhail A. Frank – Doctor of Sciences (Medicine), Professor of the Department of Urology, Nephrology and Transplantology, Institute of Surgery; Urologist of the Department of Urology

Ekaterinburg

https://orcid.org/0000-0003-0711-7896ОбоскаловаТ. А.OboskalovaT. A.

 Татьяна Анатольевна Обоскалова – доктор медицинских наук, профессор, заведующий кафедрой акушерства и гинекологии с курсом медицинской генетики, институт педиатрии и репродуктивной медицины

Екатеринбург

Tatyana A. Oboskalova – Doctor of Sciences (Medicine), Professor, Head of the Department of Obstetrics and Gynecology with Medical Genetics Course, Institute of Pediatrics and Reproductive Medicine

Ekaterinburg

https://orcid.org/0000-0002-7393-0810ЗамятинА. В.ZamyatinA. V.

Александр Викторович Замятин – кандидат медицинских наук, ассистент кафедры урологии, нефрологии и трансплантологии, институт хирургии ; уролог урологического отделения

Екатеринбург

Aleksandr V. Zamyatin – Candidate of Sciences (Medicine), Assistant of the Department of Urology, Nephrology and Transplantology, Institute of Surgery; Urologist of the Department of Urology

Ekaterinburg

https://orcid.org/0009-0005-6022-7041ПротопоповаВ. Л.ProtopopovaV. L.

Валерия Леонидовна Протопопова – студент института клинической медицины

Екатеринбург

Valeria L. Protopopova – Specialist’s Degree Student of the Institute of Clinical Medicine, 

Ekaterinburg

Уральский государственный медицинский университет; Городская клиническая больница № 40РоссияUral State Medical University; City Clinical Hospital No. 40Russian FederationУральский государственный медицинский университетРоссияUral State Medical UniversityRussian Federation202618082026254121–132Copyright © Мурзин М.О., Франк М.А., Обоскалова Т.А., Замятин А.В., Протопопова В.Л., 20262026Мурзин М.О., Франк М.А., Обоскалова Т.А., Замятин А.В., Протопопова В.Л.Murzin M.O., Frank M.A., Oboskalova T.A., Zamyatin A.V., Protopopova V.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.umjusmu.ru/jour/article/view/2296Введение 

Введение . Глубокий инфильтративный эндометриоз серьезное заболевание, часто поражающее смежные органы (мочевой пузырь и кишечник), что требует хирургического лечения. При этом само хирургическое вмешательство несет риск развития ранних послеоперационных и отдаленных нежелательных последствий. Ряд таких осложнений известны, в частности дисфункция детрузора, однако учесть все возможные варианты развития послеоперационного периода задача крайне трудная. Приводим пример труднопрогнозируемого осложнения, возникшего через год после лапароскопической резекции мочевого пузыря.

Цель работы описание нетравматичекого (спонтанного) разрыва мочевого пузыря при глубоком инфильтративном эндометриозе на примере клинического случая.

Материалы и методы 

Материалы и методы . Использована медицинская документация, включающая в себя протоколы операций, наблюдения, данные комплексного лабораторно-инструментального обследования пациента.

Результаты 

Результаты . Проведен детальный анализ клинического случая нетравматического (спонтанного) разрыва мочевого пузыря. Изучены субъективные жалобы пациента, объективная симптоматика, диагностические методы, оперативное лечение. Сформулированы рекомендации по подходу к лечению и дальнейшему послеоперационному ведению пациенток с глубоким инфильтративным эндометриозом.

Заключение 

Заключение . Приведенный клинический пример указывает на необходимость комплексного междисциплинарного подхода к лечению эндометриоза, когда вовлекаются мочевыводящие пути. При появлении нарушений мочеиспускания целесообразно проведение диагностических исследований для выявления причины возникающих явлений и своевременной их коррекции.

Introduction 

Introduction . Deep infiltrative endometriosis is a serious disease that often affects adjacent organs such as the bladder and intestines, which requires surgical treatment. At the same time, surgical intervention itself carries the risk of developing early postoperative and long-term undesirable consequences. A number of such consequences are known, in particular, detrusor dysfunction, but it is an extremely difficult task to take into account all possible options for the development of the postoperative period. Here is an example of a difficult-to-predict complication that occurred one year after laparoscopic bladder resection.

The purpose of the work is to describe a non-traumatic (spontaneous) bladder rupture associated with deep infiltrating endometriosis using a clinical case as an example.

Materials and methods 

Materials and methods . Medical documentation, including surgical protocols, observations, and data from a comprehensive laboratory and instrumental examination of the patient, was used.

Results 

Results . A detailed analysis of a clinical case of non-traumatic bladder rupture was conducted. The patient’s subjective complaints, objective symptoms, diagnostic methods, and surgical treatment were studied. Recommendations for the treatment approach and subsequent postoperative management of patients with deep infiltrating endometriosis were formulated.

Conclusion 

Conclusion . The given clinical example indicates the need for a comprehensive interdisciplinary approach to the treatment of endometriosis when the urinary tract is involved. When urination disorders occur, it is advisable to conduct diagnostic studies to identify the cause of the phenomena and correct them in a timely manner.

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The authors declare that there are no conflicts of interest present.