Nedjim Saleh A, Bencherki Youssef, Nachid Abdellah, Safieddine Mehdi, ElBadr Mouad, Moumen Oussama, Moataz Amine, Dakir Mohamed, Debbagh Adil, Aboutaieb Rachid
Department of Urology, Ibn Rochd University Hospital, Casablanca, Morocco.
J Surg Case Rep. 2023 Jul 19;2023(7):rjad379. doi: 10.1093/jscr/rjad379. eCollection 2023 Jul.
Gangrenous cystitis is a pathology that is rarely encountered in current urological practice. It is due to necrosis of the bladder wall, which may be superficial or involve the entire wall. Its exact pathogenesis is unknown, but several factors make its diagnosis based on cystoscopy or imaging. Its surgical treatment depends on the operative finding. In this report, the authors report a case of gangrenous cystitis in a 73-year-old patient with a history of prostatectomy and radiotherapy whose main manifestation was urinary retention. The diagnosis was made by computed tomography scan. Surgical exploration confirmed the diagnosis, thus imposing a partial cystectomy with an omentum base plasty. Despite a good postoperative clinical and biological evolution, the patient died in the intensive care unit following respiratory distress and ventricular tachycardia. This case reminds once again the high mortality associated with this pathology.
坏疽性膀胱炎是一种在当前泌尿外科实践中很少遇到的病理情况。它是由于膀胱壁坏死所致，坏死可能是浅表性的，也可能累及整个膀胱壁。其确切发病机制尚不清楚，但有几个因素使得基于膀胱镜检查或影像学进行诊断。其手术治疗取决于术中发现。在本报告中，作者报告了一例73岁有前列腺切除术和放疗史的患者发生坏疽性膀胱炎的病例，其主要表现为尿潴留。通过计算机断层扫描做出诊断。手术探查证实了诊断，因此实施了带网膜蒂成形术的部分膀胱切除术。尽管术后临床和生物学过程良好，但患者在重症监护病房因呼吸窘迫和室性心动过速死亡。该病例再次提醒人们这种病理情况具有较高的死亡率。
