Emphysematous Cystitis: Report of Two Cases

產氣性膀胱炎：病例報告及文獻回顧

陳家熙(Chia-Hsi Chen) ； 李華鎮(Hwa-Chan Lee) ； 江仰仁(Yang-Jen Chiang) ； 柯俊年(Zin-Nian Ko)

《中華民國急救加護醫學會雜誌》 19卷2期 (2008/06) Pp. 79-84

https://doi.org/10.30018/JECCM.200806.0006

摘要

產氣性膀胱炎於之前的文獻中少有提及，其對外的臨床症狀不具專一性，常出現血尿，下腹痛等症狀，但病人常常合併了嚴重的敗血症，故在急診的判斷上，往往讓人誤認為是腹內或後腹腔膿瘍，而進行手術清創及引流。在此吾人提出兩個病例，其中一個病例接受了剖腹探查手術但並無特殊發現；實際上只須使用抗生素治療合併膀胱引流等手法便足以治療此等病患。另外搜尋其他文獻記錄來合併討論有關產氣性膀胱炎之診斷及治療。

關鍵字

抗生素治療 ； 產氣性膀胱炎 ； 後腹腔膿瘍

並列摘要

There has been little documentation of emphysematous cystitis. The typical presentation includes lower abdominal pain and hematuria, but some patients may present with septic shock. Because of the severe manifestation of infection around the pelvic cavity, we often confuse this disease with intraabdominal or retroperitoneal abscess. Here in we present two cases from the emergency department. Treatment included aggressive antibiotic therapy and bladder drainage. One patient, a 91 year-old woman, recovered in stable condition. The other, an 80 year-old woman, had an exploratory laparotomy but no pus formation was noted. She was discharged with stabilized vital sign.

並列關鍵字

antibiotic therapy ； emphysematous cystitis ； retroperitoneal abscess