Bracq Arnaud, Fourmarier Marc, Bourgninaud Olivier, Boutemy Frédéric, Demailly Manuel, Petit Jacques, Saint Fabien
Service d'Urologie-Transplantation, CHU d'Amiens, France.
Prog Urol. 2004 Feb;14(1):87-9.
Emphysematous cystitis is a rare disease mainly encountered in poorly controlled diabetics, immunodepressed patients or patients with infravesical obstruction. The pathophysiology of this disease is characterized by the formation of carbon dioxide (CO2) present in the lumen and/or bladder wall, derived from bacterial fermentation of carbohydrates. The bacteria most frequently responsible are facultative aerobes-anaerobes (Escherichia coli) and more rarely strict anaerobes (Clostridium perfringens). The authors report a case of emphysematous cystitis in a context of pelvic trauma and fracture of the pelvis, complicated by secondary bladder rupture. The diagnostic and therapeutic aspects are discussed.
气肿性膀胱炎是一种罕见疾病，主要见于血糖控制不佳的糖尿病患者、免疫功能低下患者或膀胱以下梗阻患者。该疾病的病理生理学特征是腔内和/或膀胱壁中二氧化碳（CO2）的形成，其来源于碳水化合物的细菌发酵。最常见的致病菌是兼性需氧菌 - 厌氧菌（大肠杆菌），较少见的是严格厌氧菌（产气荚膜梭菌）。作者报告了1例骨盆创伤和骨盆骨折并发继发性膀胱破裂情况下的气肿性膀胱炎病例。并对诊断和治疗方面进行了讨论。
