気腫性膀胱炎について

概要

論文の詳細を見る
1) The 1st clinical case of "cystitis emphysematosa" in Japan was reported. The patient was a 67-year-old female, who had been diabetic since 7 years ago. She also had an uncomplete urinary retention associated with urinary infection caused by catheterization for the purpose of clinical examination. Because her acute symptomes of cystitis and hematuria responded poory to the usual sulfa drug regimen, the cystoscopic examination was performed, and then the emphysematous lesion was detected. Both the emphysematous condition and the inflammation of the bladder disappeared in about 10 days with the topical treatment chiefly composed of bladder irrigation. Abstract of the clinical course, photographic pictures of the bladder mucous membrane and X-ray finding were also illustrated. 2) Referring to the available cases reported both in domestic and foreign literatures, 35 autopsy cases and 24 clinical cases of "cystitis emphysematosa", were tabulated, and the developmental views, diagnostic and therapeutic procedures for this condition were discussed, then chiefly from the standpoint of pathological and clinical observations, concluded as follow. In the clinical case of "cystitis emphysematosa", the emphysematous condition of the bladder is only a symptom of the bacterial acute cystitis rather than a separate clinical entity and essentially belongs to the other category of the similar condition which often takes place in uninflammed bladder found in some autopsy cases. 3) From the fact that the condition of emphysematous inflammation has been known to occur in the gall bladder and in the renal pelvis which have physiologically the similar structure and functions to those of the urinary bladder, the usual inflammatory figures of these 3 organs were compared, and some common features were noted; a) Etiological agents were the ones of the indigenous flora to the human bodies. b) There were minimal differences between the manifestations of infections which caused by such agents which were often to each other biologically of greatly different nature, anp c) Supporting that the urinary system was affected with some agents, there were not always concommitant infective conditions both in the renal pelvis and in the urinary bladder, that was suggestive in these 2 organs to have different characters for the susceptibility to iufections. In addition, the inflammatory condition in these 3 organs had many other common features which characterized as so-called endogenous infective diseases. Then, taking the bacterial cystitis as one of the endogenous iufective diseases, the following fact was suggested that, several factors which were hitherto considered to be etiological, and finally concluded here to be undeterminate as a single cause, for instance, some bacterial agents, diabetes or glycosuria and traumas in narrow and wide sense, including the circulatory disturbances, etc. were becomming to be able to re-estimate as equivalent essential factors by taking them up as a whole.
社団法人日本泌尿器科学会の論文

著者

清島茂寿
中央鉄道病院泌尿器科

気腫性膀胱炎について

スポンサーリンク

概要

著者

関連論文

スポンサーリンク