Oniwa Mariko, Kataoka Yuki, Yamada Midori, Miyagawa Takuya, Sunada Takuro, Konishi Hideyuki, Suzuki Gen, Fujita Yoko
Department of Internal Medicine Kyoto Min-iren Asukai Hospital Kyoto Japan.
Department of Urology Kyoto University Kyoto Japan.
J Gen Fam Med. 2023 Apr 18;24(3):185-187. doi: 10.1002/jgf2.620. eCollection 2023 May.
An 84-year-old woman who was admitted for protein-losing gastroenteropathy associated with radiation enteritis 10 years after pelvic radiotherapy developed pyelonephritis. She became anuric despite having an indwelling bladder catheter. Imaging studies revealed bladder wall thickening, bilateral hydroureter formation, and hydronephrosis. Autopsy findings led to a diagnosis of gangrenous cystitis (GC). Our case indicates that radiation-induced late effects may be an indirect cause of GC, not a direct cause as previously suggested, and that GC may induce bilateral vesicoureteral junction obstruction.
一名84岁女性在盆腔放疗10年后因放射性肠炎并发蛋白丢失性胃肠病入院，随后发生肾盂肾炎。尽管留置了膀胱导管，她仍出现无尿。影像学检查显示膀胱壁增厚、双侧输尿管积水和肾盂积水。尸检结果确诊为坏疽性膀胱炎（GC）。我们的病例表明，放射性迟发效应可能是GC的间接原因，而非如先前认为的直接原因，且GC可能导致双侧膀胱输尿管连接部梗阻。
