Shigehara Kazuyoshi, Kitagawa Yasuhide, Nakashima Takao, Shimamura Masayoshi
The Department of Urology, Ishikawa Prefectural Central Hospital.
Hinyokika Kiyo. 2006 May;52(5):371-4.
Emphysematous cystitis is a rare form of acute cystitis presenting with gas collection in the bladder wall and lumen. We report three cases of emphysematous cystitis. The first patient was a 71-year-old woman with gross hematuria. Intravenous pyelography and cystoscopy revealed a characteristic gas collection in the bladder. The second patient was a 59-year-old man with abdominal fullness who was hospitalized for treatment of a cerebral infarction. Abdominal radiography and computed tomographic (CT) scan demonstrated emphysematous cystitis. The third patient was a 67-year-old man with diarrhea and abdominal pain after operation for rectal cancer. CT scan accidentally showed gas bubbles in the bladder wall and lumen. All of the cases, the symptoms were improved after treatment with antibiotics.
气肿性膀胱炎是急性膀胱炎的一种罕见形式，表现为膀胱壁和腔内有气体积聚。我们报告三例气肿性膀胱炎病例。首例患者为一名71岁女性，有肉眼血尿。静脉肾盂造影和膀胱镜检查显示膀胱内有特征性的气体积聚。第二例患者为一名59岁男性，有腹胀，因脑梗死住院治疗。腹部X线摄影和计算机断层扫描（CT）显示为气肿性膀胱炎。第三例患者为一名67岁男性，直肠癌手术后出现腹泻和腹痛。CT扫描意外发现膀胱壁和腔内有气泡。所有病例经抗生素治疗后症状均有改善。
