書誌事項
- タイトル別名
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- Gangrenous cystitis in a diabetic hemodialysis patient: a case report
抄録
The patient was a 73-year-old female who had been receiving maintenance hemodialysis due to diabetic nephropathy for 4 years. She was admitted to our hospital for amputation of the severely necrotic foot. During surgery, her blood pressure fell to 50/20mmHg temporarily. Five days after surgery, she developed high fever, and complained of lower abdominal pain and urgency of micturition. Laboratory data showed CRP of 30.2mg/dL, and white blood cell count of 11, 600/μL. On the day, her consciousness was disturbed, and the abdominal had became distended. Abdominal X-ray demonstrated massive air in the intestine, therefore, paralytic ileus was suspected. Abdominal pain exacerbated, and she subsequently died of sepsis. Autopsy demonstrated gangrenous cystitis with bladder perforation and pan-peritonitis. Beta 2-microglobulin derived amyloid was slightly deposited in the bladder wall. In this case, gangrenous cystitis appeared to be caused by ischemia of the bladder wall due to arterial sclerotic lesion, severe hypotension during the surgery and bladder overdistention by diabetic neurogenic bladder. Furthermore, chronic urinary tract infection, which had persisted under the condition of neurogenic bladder and anuria in this compromised host, probably influenced gangrenous cystitis.
収録刊行物
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- 日本透析医学会雑誌
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日本透析医学会雑誌 38 (12), 1787-1791, 2005
一般社団法人 日本透析医学会
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詳細情報 詳細情報について
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- CRID
- 1390282679653764736
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- NII論文ID
- 130003721878
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- ISSN
- 1883082X
- 13403451
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可