Nakayama T, Tohyama Y, Iizumi T, Yazaki T, Umeda T
Department of Urology, Teikyo University School of Medicine.
Hinyokika Kiyo. 1996 May;42(5):381-3.
Emphysematous cystitis is a rare condition in which gas-forming organisms produce gas in the bladder wall and lumen. We present a case of emphysematous cystitis with neurogenic bladder. The patient was a 78-year-old man who complained of dysuria and lower abdominal soft mass. Urine culture yielded Klebsiella pneumoniae and Enterococcus faecalis. A plain X-ray film of upright position showed a large air-fluid level. The gas was demonstrated in the bladder wall and lumen on CT scan. These findings were compatible with that of emphysematous cystitis. The symptoms were improved and the intraluminal gas had disappeared on radiography after treatment with antibiotics. We reviewed 20 cases of emphysematous cystitis reported in the Japanese literature and reported clinical characteristics of 21 patients including ours here.
气肿性膀胱炎是一种罕见病症，产气微生物在膀胱壁和腔内产生气体。我们报告一例合并神经源性膀胱的气肿性膀胱炎病例。患者为一名78岁男性，主诉排尿困难和下腹部软性肿块。尿液培养检出肺炎克雷伯菌和粪肠球菌。立位腹部平片显示一个大的气液平面。CT扫描显示膀胱壁和腔内有气体。这些表现符合气肿性膀胱炎。经抗生素治疗后，症状改善，影像学检查显示腔内气体消失。我们回顾了日本文献中报道的20例气肿性膀胱炎病例，并报告了包括我们这里的21例患者的临床特征。
