Elalaoui Anass, Elmoudane Anouar, Mokhtari Mohamed, Elfarhaoui Hammou, Motaouakil Abdessamad, Barki Ali
Department of Urology, Mohamed VI University Hospital Center, Mohamed I University, Oujda, Morocco.
Department Head of Urology, Mohamed VI University Hospital Center, Mohamed I University, Oujda, 62000, Morocco.
Urol Case Rep. 2022 Sep 23;45:102239. doi: 10.1016/j.eucr.2022.102239. eCollection 2022 Nov.
Gangrenous cystitis complicated by intraperitoneal perforation is an extremely rare pathology, the major etiopathogenic factor is ischemia of the bladder wall, it has disappeared with the advent of antibiotic therapy and the development of means of bladder drainage. We report a case of a 17-year-old patient, who had a medical history of spinal cord transection by stabbing, who presented a chronic urinary retention leading to a gangrenous cystitis, a surgical exploration was performed and excision of necrotic tissues and reconstruction of the wall bladder with a well recovery.
坏疽性膀胱炎并发腹腔内穿孔是一种极为罕见的病症，主要致病因素是膀胱壁缺血，随着抗生素治疗的出现及膀胱引流手段的发展，这种病症已较为少见。我们报告一例17岁患者，有刺伤导致脊髓横断的病史，出现慢性尿潴留，进而引发坏疽性膀胱炎，进行了手术探查，切除坏死组织并重建膀胱壁，患者恢复良好。
