一个年长的卧床女性突发性腹膜外膀破裂的罕见病例:一个病例报告
Katrina Villegas1, Aqsa Sorathia1, Utku Ekin2
1Department of Internal Medicine, St. Joseph's University Medical Center, Paterson, NJ, USA.
AME case reports
|November 10, 2025
概括
自发性膀破裂 (SBR) 是罕见的,但致命的. 这一案例突出了老年免疫功能低下患者的独特表现,表明真菌感染和神经性膀功能障碍是自发外皮质膀破裂的潜在因素.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 老年病的医生 老年病的医生
背景情况:
- 自发性膀破裂 (SBR) 是一种罕见的,危及生命的疾病.
- 它通常发生在预先存在的膀问题,感染或增加的压力.
- 这个案子集中在一个年长的,免疫力受损的,被困在床上的女性身上,她有一个罕见的表现.
研究的目的:
- 描述一种罕见的自发性外皮质膀破裂的表现.
- 突出潜在的促成因素,包括Candida dubliniensis感染和神经性膀功能障碍.
- 为了强调医疗复杂的患者的诊断挑战.
主要方法:
- 病例报告详细介绍了一个SBR患者,没有先前导管或阻塞.
- 使用成像 (揭示破裂,水解,自由空气) 和尿液培养.
- 考虑了患者病史,包括神经性成分的头中风.
主要成果:
- 患者呈现了SBR,双边水和自由空气.
- 尿液培养发现了Candida dubliniensis.
- 尽管多学科的护理,患者的病情恶化,导致死亡.
结论:
- 在复杂的患者中,SBR诊断可能具有挑战性;早期成像,如逆行囊造影,至关重要.
- 神经系统损伤可能导致膀功能障碍和破裂,需要在风险组保持警.
- 在SBR中Candida dubliniensis的作用需要进一步调查.
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