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摘要


我們報告一位43歲女性罹患氣腫性膀胱炎的病例,其產氣的不尋常表現在於氣體只堆積在膀胱內,而膀胱壁並無增厚或膀胱壁內氣體累積的現象,和典型氣腫性膀胱炎不同。需要鑑別診斷的疾病包括:手術後氣體累積,腸道與膀胱瘻管,以及醫療器械檢查所造成。如果早期診斷與治療,包括適當的投與抗生素,控制血糖,以及足夠的尿液引流,氣腫性膀胱炎的預後是不錯的。這位患者在住院五天後出院,並給予一個星期的口服抗生素治療,目前病況相當不錯並接受口服降血糖藥物治療糖尿病。

並列摘要


We present a case of emphysematous cystitis in a 43-year-old female. The gas pattern was unusual because there was only gas accumulation in the urinary bladder without bladder wall thickening or intramural gas formation. The differential diagnosis included postoperative states, enterovesical fistula, and iatrogenic instrumentation. The prognosis of emphysematous cystitis is good after early diagnosis and prompt treatment with appropriate antibiotics, blood glucose control, and adequate urinary drainage. The patient was discharged on hospital day 5 with one additional week of oral antibiotic therapy. She was quite well at the time of writing and her diabetes was controlled with an oral hypoglycemic agent.

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