Department of Urology, School of Medicine, University of California, San Francisco, California 94143, USA.
Urology. 2010 Jun;75(6):1315-6. doi: 10.1016/j.urology.2009.08.031. Epub 2009 Oct 24.
We present the case of a 57-year-old man with emphysematous cystitis. The patient presented with a complaint of several days of lower abdominal pain and gross hematuria. Work-up included an abdominal CT scan that revealed gas within the urinary bladder wall, and cystoscopy confirmed diffuse submucosal emphysema throughout the bladder. The patient was treated conservatively with broad spectrum antibiotics, with prompt resolution of both symptoms and radiographic findings. Emphysematous cystitis is a rare clinically entity, more commonly seen in diabetic, immunocompromised patients. A conservative treatment approach using antibiotics and bladder catheterization is typically successful, with a complication rate of only 18.8%.
我们报告一例 57 岁男性患者的气肿性膀胱炎病例。该患者因数天的下腹痛和肉眼血尿就诊。检查包括腹部 CT 扫描，显示膀胱壁内有气体，膀胱镜检查证实整个膀胱弥漫性黏膜下气肿。患者接受广谱抗生素保守治疗，症状和影像学表现迅速缓解。气肿性膀胱炎是一种罕见的临床实体，更常见于糖尿病、免疫功能低下的患者。使用抗生素和膀胱导管插入术的保守治疗方法通常是成功的，并发症发生率仅为 18.8%。
