Bonera A, Antoci G, Bianchi P, Alberti P
Divisione di Chirurgia Generale, Ospedale La Memoria, Azienda USSL n. 17-Gavardo, Brescia.
Minerva Urol Nefrol. 1996 Dec;48(4):193-7.
A rare case of gangrenous cystitis is described. The questions of the incidence of this pathology are discussed, considering its rareness after the antibiotics age. The etiology of this disease is probably multifactorial and it is never possible to identify a unique cause. The gangrenous cystitis doesn't present with any typical symptomatology, out with urinary troubles common to many urologic diseases. Surgery is often performed in emergency without a preoperative defined diagnosis. Surgical treatment has changed with time from a simple bladder cavity draining to the resection of the necrotized bladder wall. In our case a total cystectomy with uretero-ileocutaneostomy, in two times, was performed. This procedure allowed the patient a good quality of life (1 year of follow-up).
本文描述了一例罕见的坏疽性膀胱炎病例。鉴于抗生素时代后该病的罕见性，讨论了这种病理情况的发病率问题。该疾病的病因可能是多因素的，而且不可能确定唯一的病因。坏疽性膀胱炎没有任何典型症状，只有许多泌尿系统疾病常见的排尿问题。手术通常在急诊情况下进行，术前没有明确的诊断。随着时间的推移，手术治疗已从简单的膀胱腔引流转变为坏死膀胱壁切除术。在我们的病例中，分两次进行了全膀胱切除术并输尿管-回肠皮肤造口术。该手术使患者获得了良好的生活质量（随访1年）。
