Kotoulas Konstantinos, Georgellis Chrysostomos, Kigitzi Engkin, Liappis Apostolos, Spounos Marios, Tsalkidou Vasiliki, Patris Emmanouil
Department of Urology, University Hospital of Alexandroupolis, 681 00 Alexandroupolis, Greece.
Case Rep Urol. 2018 Jun 6;2018:4948375. doi: 10.1155/2018/4948375. eCollection 2018.
Gangrenous cystitis is an umbrella term encompassing conditions from necrosis of the mucosa and submucosa to necrosis of the entire bladder wall that can result in acute peritonitis. Timely diagnosis is challenging as the symptoms are nonspecific and resemble other conditions such as cystitis. We report a case of gangrenous cystitis in a 63-year-old woman who was diagnosed with peritonitis preoperatively by a CT scan of the abdomen. Overdistension of the bladder due to chronic urinary retention was the primary cause. The patient underwent partial cystectomy, excising nonviable detrusor with preservation of the trigone and ureters, but conclusively succumbed. Etiopathology, symptoms, and treatment of this rare disease are also considered.
坏疽性膀胱炎是一个统称，涵盖从黏膜和黏膜下层坏死到整个膀胱壁坏死的各种情况，可导致急性腹膜炎。由于症状不具特异性且与膀胱炎等其他病症相似，及时诊断具有挑战性。我们报告一例63岁女性坏疽性膀胱炎病例，该患者术前经腹部CT扫描诊断为腹膜炎。慢性尿潴留导致的膀胱过度扩张是主要病因。患者接受了部分膀胱切除术，切除无活力的逼尿肌，保留三角区和输尿管，但最终还是死亡。本文还对这种罕见疾病的病因、症状及治疗进行了探讨。
