脳梗塞発症後の神経因性膀胱により気腫性膀胱炎を併発した1例

• 萩原 のり子

  誠愛リハビリテーション病院内科 同　リハビリテーション科

• 横山 信彦

  同　リハビリテーション科 同　脳神経外科

• 鍋島 義之

  福岡徳洲会病院泌尿器科

• 井林 雪郎

  誠愛リハビリテーション病院内科 同　リハビリテーション科

書誌事項

タイトル別名

• A case of emphysematous cystitis complicated by neurogenic bladder after ischemic stroke

抄録

A 67-year-old man with a history of diabetes suffered from ischemic stroke and was received urethral catheterization for 2 weeks. After removal of the catheter, he was troubled with a urinary tract infection due to neurogenic bladder that improved after antibiotic treatment and intermittent catheterization. He was then transferred to our hospital for convalescent rehabilitation on day 23; however, asymptomatic gross hematuria appeared 11 days later. Based on the findings of an abdominal CT, the diagnosis of emphysematous cystitis was made. He was transferred for urological treatment and improved immediately with a combination of bladder drainage and appropriate antibiotics. Emphysematous cystitis, often complicated by diabetes, occurs secondary to dysuria which is frequently observed as neurogenic bladder in post stroke patients. In the management of such cases, especially in diabetes, we should note the risk of urinary tract infection including emphysematous cystitis at any stage and take more interest in urinary symptoms after stroke.

収録刊行物

• 脳卒中

  脳卒中 35 (2), 92-96, 2013

  一般社団法人 日本脳卒中学会

キーワード

• emphysematous cystitis
• neurogenic bladder
• urinary tract infection
• diabetes mellitus

詳細情報

• CRID: 1390001204638487808
• NII論文ID: 130004543287
• DOI: 10.3995/jstroke.35.92
• ISSN: 18831923
• ISSN: 09120726
• Web Site: https://search.jamas.or.jp/link/ui/2013207878
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可