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[A case of emphysematous cystitis].
Toshiyasu Amano1, Kazuyoshi Shigehara, Yoshitomo Kobori
1Department of Urology, Nagano Red Cross Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|January 31, 2006
Summary
A 60-year-old woman with rheumatoid arthritis, amyloidosis, and diabetes developed emphysematous cystitis and subsequent bilateral hydronephrosis due to a neurogenic bladder. Treatment involved antibiotics, catheterization, and medication, successfully resolving the condition.
Area of Science:
- Nephrology
- Urology
- Infectious Diseases
Background:
- A 60-year-old female patient with a history of rheumatoid arthritis, amyloidosis, and diabetes mellitus presented with gross hematuria.
- The patient's comorbidities potentially increased her susceptibility to urinary tract complications.
Observation:
- Urine analysis revealed protein, glucose, hematuria, and bacteriuria.
- Radiography, ultrasonography, and cystoscopy confirmed emphysematous cystitis.
- A subsequent computed tomographic scan identified bilateral hydronephrosis one month later.
Findings:
- Emphysematous cystitis was initially diagnosed and treated effectively with antibiotics.
- The bilateral hydronephrosis was attributed to urinary retention secondary to a neurogenic bladder disorder.
- Successful management involved indwelling catheterization, intermittent catheterization, and cholinergic medication.
Implications:
- This case highlights the importance of considering neurogenic bladder dysfunction in patients with complex medical histories presenting with urinary symptoms.
- Prompt diagnosis and multi-faceted treatment are crucial for managing complications like emphysematous cystitis and hydronephrosis.
- Effective management strategies can lead to successful patient outcomes, even in the presence of comorbidities.