Van Glabeke Emmanuel, Obadia Edouard, Dessolle Lionel, Pallot Jean-Louis, Marc François, Bacques Olivier
Service de Chirurgie Viscérale et Urologique, CHI André Grégoire, Montreuil, France.
Prog Urol. 2004 Apr;14(2):221-3.
The authors report a case of emphysematous cystitis in a 50-year-old woman treated by corticosteroids, occurring 1 month after hysterectomy for locally advanced ovarian cancer. Although the patient presented a vesico-vaginal fistula, the presence of air in the bladder wall and only in the bladder lumen, confirmed the diagnosis of emphysematous cystitis. Despite intensive care and surgery with colostomy and Mikulicz drainage associated with urinary diversion (transparietal bladder catheter on one side and cutaneous ureterostomy on the other side), the patient died on day 10 in a context of sepsis. The circumstances of discovery, the various clinical forms and the radiological features of emphysematous cystitis described in the literature are reviewed together with the modalities of management.
作者报告了一例50岁女性的气肿性膀胱炎病例，该患者因局部晚期卵巢癌行子宫切除术后1个月接受皮质类固醇治疗。尽管患者存在膀胱阴道瘘，但膀胱壁及仅膀胱腔内存在气体，确诊为气肿性膀胱炎。尽管给予了重症监护，并进行了结肠造口术及米库利兹引流联合尿液改道（一侧经膀胱壁置管，另一侧行皮肤输尿管造口术）的手术，但患者在第10天死于败血症。本文结合气肿性膀胱炎的发现情况、各种临床症状、文献中描述的放射学特征以及治疗方式进行了综述。
