產氣性膀胱炎-案例系列及文獻探討

楊浩誌、黃國財、林健煇、何東儒、林威宇、黃雲慶、陳志碩、劉昱良

財團法人嘉義長庚紀念醫院 外科部 泌尿科

Emphysematous cystitis - Case Series and Literature Review

Hao-Chih Yang, Kuo-Tsai Huang, Jian-Hui Lin, Dong-Ru Ho, Wei-Yu Lin, Yun-Ching Huang, Chih-Shou Chen,Yu-Lian Liu

Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, Chiayi, Taiwan

Introduction:

  Emphysematous cystitis (EC) is a rare but life-threatening complicated urinary tract infection (UTI). Early antibiotic therapy, bladder drainage and glycemic control can prevent the potential morbidity and mortality.

Case summary:

  We describe our experience with three patients who developed emphysematous cystitis. Two are female and one is male, two of them have diabetes mellitus. The clinical presentations are different, include fever, abdomen pain and asymptomatic. The image studies include computed tomography (CT). The most organisms are Escherichia coli and Klebsiella pneumonia. After early antibiotic treatment and Foley drainage, one mortality was noted.

Conclusion:

  In our cases, the clinical features of emphysematous cystitis are varied, but early detect and confirmed by image studies helped early treatment to prevent fetal outcomes.