ABSTRACT
OBJETIVO: Reportar dos nuevos casos de cistitis enfisematosa, una patología poco frecuente pero potencialmente grave. MÉTODO: Análisis de dos casos tratados en nuestro centro de diferente forma y revisión de la literatura. RESULTADO: El primer paciente dado lo avanzado del caso tuvo que ser sometido a una cistectomía radical urgente; el segundo, se benefició de un tratamiento conservador y novedoso, al ser sometido a dos sesiones de oxigenoterapia hiperbárica. CONCLUSIONES: Es importante un diagnóstico precoz de esta patología. La oxigenoterapia hiperbárica puede ser beneficiosa debido a la mejora en la oxigenación de los tejidos afectos por la enfermedad
OBJECTIVE: To report two cases of emphysematous cystitis, a rare, potentially serious disease. METHODS: Analysis of two different cases treated in our center and review of the existing literature. RESULTS: One patient underwent emergency surgery (radical cystectomy) due to the advanced stage of the disease. The second patient, whose was in an initial stage, benefited from a new treatment, consisting of hyperbaric oxygen and wide spectrum antibiotics. CONCLUSIONS: Early diagnosis is the cornerstone of the conservative management of the disease. Hyperbaric oxygen therapy may be beneficial due to the improvement in oxygenation of the tissues affected by the disease
Subject(s)
Female , Humans , Male , Emphysematous Cholecystitis/pathology , Emphysematous Cholecystitis/urine , Urinary Tract/abnormalities , Urinary Tract/injuries , Pyelitis/urine , Diabetes Mellitus/diagnosis , Hematuria/blood , Cystectomy/methods , Cystectomy/standards , Emphysematous Cholecystitis/complications , Emphysematous Cholecystitis/metabolism , Urinary Tract/metabolism , Urinary Tract/pathology , Diabetes Mellitus/pathology , Hematuria/urine , Cystectomy/instrumentation , Cystectomy , Review Literature as TopicABSTRACT
In a Dutch general practice the adult female population was screened for asymptomatic bacteriuria (A.B.) by repeated urine culture after vulval cleansing. The prevalence of signficant A.B. was 4.7% and increased with age. Women with significant A.B. were followed up for one year. All symptomatic urinary-tract infections were recorded during the same period (incidence 59 per 1000 population). Women with significant A.B. at screening were divided into three groups according to the pattern of the follow-up results: transitory A.B., symptomatic A.B., and persistent A.B. The last group differed from the penultimate group with regare to the site of their urinary-tract involvement, symptomatic cases having predominantly upper-urinary-tract involvement and persistent cases lower-urinary-tract infection. In the matched control group the acquisition-rate of both symptomatic and asymptomatic 0acteriuria was over 12%, a figure similar to the percentage of women present in the practice population during one year with transient, symptomatic, and persistent A.B. Screening for A.B. in the general non-pregnant female population is not advocated at present. Screening and treatment of existing A.B. should be carried out in pregnant women who run an increased risk.