Uhlman Matthew A, Andresen Eric D, Storm Douglas W
Department of Urology, University of Iowa, Iowa City, Iowa, USA.
Can J Urol. 2015 Aug;22(4):7924-6.
An 11-year-old female with spastic quadriplegia was seen in the emergency room with abdominal pain, vomiting and anorexia. Labs revealed possible pancreatitis and signs of a urinary tract infection. A CT scan was performed to assess her abdominal pain and demonstrated circumferential air within the bladder wall. Following cultures being drawn, she was started on broad spectrum antibiotics. Her urine eventually grew Klebsiella Pneumoniae. Follow up imaging 2 weeks later demonstrated resolution of the air. Emphysematous cystitis is an exceedingly rare condition in the pediatric population, with this report representing the second case within the literature.
一名患有痉挛性四肢瘫痪的11岁女性因腹痛、呕吐和厌食在急诊室就诊。实验室检查显示可能患有胰腺炎和尿路感染迹象。进行了CT扫描以评估她的腹痛,结果显示膀胱壁内有环形气体。采集培养样本后,她开始使用广谱抗生素治疗。她的尿液最终培养出肺炎克雷伯菌。两周后的随访影像学检查显示气体已消散。气肿性膀胱炎在儿科人群中极为罕见,本报告是文献记载中的第二例。