Cavero Rebollo O, Urruchi Fernández P, Tello Royloa C, Gonzalvo Ibarra A, Rioja Sanz L A
Servicio de Urología, Hospital Miguel Servet, Zaragoza, España.
Arch Esp Urol. 1994 Apr;47(3):291-4.
The presence of gas in the bladder wall and/or lumen (emphysematous cystitis) is an uncommon disease entity that may be caused by infectious organisms. Diabetes and chronic urinary infection are predisposing factors. Its clinical features are unspecific and the prognosis depends on the degree of aggressiveness at presentation. Early diagnosis and treatment (bladder drainage + antibiotics) are very important in order to resolve the condition before severe sequelae are caused. We report on 75-year-old diabetic female with mild emphysematous cystitis caused by Clostridium perfringens which resolved with bladder drainage and antibiotics. The incidence, forms of presentation, pathogenesis, diagnosis and treatment of this condition are discussed.
膀胱壁和/或腔内存在气体（气肿性膀胱炎）是一种罕见的疾病实体，可能由感染性生物体引起。糖尿病和慢性泌尿系统感染是诱发因素。其临床特征不具特异性，预后取决于发病时的侵袭程度。早期诊断和治疗（膀胱引流 + 抗生素）对于在引发严重后遗症之前解决病情非常重要。我们报告了一名75岁的糖尿病女性，她患有由产气荚膜梭菌引起的轻度气肿性膀胱炎，通过膀胱引流和抗生素治疗得以痊愈。本文讨论了这种疾病的发病率、表现形式、发病机制、诊断和治疗。
