Cargando…

Recurrent hemorrhagic shock from hemorrhagic cystitis due to neurogenic bladder

INTRODUCTION: Hemorrhagic cystitis is characterized by gross hematuria, with hemorrhagic shock a rare complication. However, to our knowledge, its exact frequency has not been reported. CASE PRESENTATION: We report a case of an 86‐year‐old woman who showed repeated hemorrhagic cystitis with massive...

Descripción completa

Detalles Bibliográficos
Autores principales: Isobe, Teruki, Matsui, Kenji, Ishioka, Kunihiro, Mochida, Yasuhiro, Moriya, Hidekazu, Hidaka, Sumi, Ohtake, Takayasu, Etani, Toshiki, Yasui, Takahiro, Kobayashi, Shuzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8560437/
https://www.ncbi.nlm.nih.gov/pubmed/34755061
http://dx.doi.org/10.1002/iju5.12354
Descripción
Sumario:INTRODUCTION: Hemorrhagic cystitis is characterized by gross hematuria, with hemorrhagic shock a rare complication. However, to our knowledge, its exact frequency has not been reported. CASE PRESENTATION: We report a case of an 86‐year‐old woman who showed repeated hemorrhagic cystitis with massive bleeding and hemorrhagic shock. The hemorrhagic cystitis was supposedly caused by the administration of aspirin and a neurogenic bladder. A urethral catheter was indwelled and hemorrhagic cystitis subsequently ceased. CONCLUSION: A review of patients with hemorrhagic cystitis at our hospital showed that only 3.3% experienced hemorrhagic shock. This case was even rarer because the patient experienced recurrent hemorrhagic shocks. A neurogenic bladder, which reduces the bladder’s ability to function as a uroepithelial barrier against recurrent bacterial infections, caused the condition in this case. This report highlights how hemorrhagic cystitis can sometimes cause hemorrhagic shock.