Ohara Hiroki, Yoshimura Koji, Terada Naoki, Ichioka Kentaro, Matsui Yoshinobu, Terai Akito, Arai Youichi
Department of Urology, Kurashiki Central Hospital.
Hinyokika Kiyo. 2004 Jan;50(1):33-5.
Encrusted cystitis is a type of severe cystitis, which progresses chronically and is characterized by excessively alkaline urine and calcifications within the bladder wall. We report two cases of encrusted cystitis. Both cases were high aged and had severe anemia with chronic cystitis. They complained of gross hematuria, voiding frequency and pain upon urination. Urine pH was 8-9, and urine cytology was negative. Urine culture contained Corynebacterium Group D2. Abdominal computed tomography and transurethral resection revealed wall bladder wall calcification and inflammatory change. We diagnosed it as encrusted cystitis. The patients underwent excision of plaques of calcified encrustation, adapted antibiotic therapy and acidification of urine. It is essential to diagnose encrusted cystitis early and to provide adequate treatment promptly.
结痂性膀胱炎是一种严重的膀胱炎,呈慢性进展,其特征为尿液碱性过强以及膀胱壁钙化。我们报告两例结痂性膀胱炎病例。两例均为高龄患者,患有严重贫血及慢性膀胱炎。他们主诉肉眼血尿、尿频和排尿疼痛。尿液pH值为8 - 9,尿液细胞学检查为阴性。尿液培养发现D2组棒状杆菌。腹部计算机断层扫描和经尿道切除术显示膀胱壁钙化和炎症改变。我们将其诊断为结痂性膀胱炎。患者接受了钙化结痂斑块切除术、适当的抗生素治疗以及尿液酸化处理。早期诊断结痂性膀胱炎并及时给予充分治疗至关重要。