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A Complex Case of Emphysematous Cystitis in a Peritoneal Dialysis Patient

机译：腹膜透析患者患者肿瘤膀胱炎的复杂病例

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Emphysematous cystitis (EC) is a relatively rare condition characterized by gas formation in the bladder wall and/or lumen. We report a case of emphysematous cystitis with a bladder perforation in an 84-year-old male on peritoneal dialysis who presented with fever, dysuria, hematuria, and hypotension. Gas in the bladder wall, as well as a small perforation in the roof of the urinary bladder, was seen on the abdominal CT scan. The causative organism identified was Escherichia coli. The patient recovered with broad-spectrum antibiotics along with bladder irrigation and drainage. After initial bladder washouts, peritoneal dialysis was continued with close monitoring. Early antibiotic therapy and a conservative approach to the management of small intraperitoneal bladder perforations were effective in this patient. Peritoneal dialysis was uninterrupted for the duration of the admission and after discharge.
机译：顽育膀胱炎（EC）是一种相对罕见的病症，其特征在于膀胱壁和/或内腔中的气体形成。 我们在84岁的男性上报告了一种具有膀胱穿孔的肺气穿孔，伴有发烧，困扰，血尿和低血压的腹膜透析。 在腹部CT扫描上观察到膀胱壁中的气体，以及膀胱顶部的小穿孔，在腹部CT扫描中看到。 鉴定的致病生物是大肠杆菌。 患者随着广谱抗生素恢复以及膀胱灌溉和排水。 在初始膀胱冲洗后，继续监测腹膜透析。 早期抗生素治疗和小腹膜内膀胱穿孔管理的保守方法在本患者中有效。 腹膜透析在入院和放电后不间断。

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