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タイトル: | 尿管皮膚瘻によって治癒しえたCyclophosphamide低用量長期内服による出血性膀胱炎の1例 |
その他のタイトル: | Long-Term Oral Low-Dose Cyclophosphamide-Induced Hemorragic Cystitis which was Successfully Treated by Ureterostomy : A Case Report |
著者: | 高木, 公暁 小島, 圭太郎 柚原, 一哉 柴田, 悠平 |
著者名の別形: | Takagi, Kimiaki Kojima, Keitarou Yuhara, Kazuya Shibata, Yuhei |
キーワード: | Cyclophosphamide Hemorrhagic cystitis |
発行日: | Dec-2012 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 58 |
号: | 12 |
開始ページ: | 687 |
終了ページ: | 690 |
抄録: | An 80-year-old man presented to our hospital with macroscopic hematuria. Before coming to our hospital, he was treated for multiple myeloma with cyclophosphamide. We detected diffuse dilation of capillary on urinary bladder mucosa on cystoscopy, and diagnosed the patient with cyclophosphamide-induced hemorrhagic cystitis. Macroscopic hematuria once resolved by indwelling urethral catheter, but recurred and bladder tamponade developed. We performed transurethral electric coagulation. Macroscopic hematuria temporarily disappeared, but again relapsed. Then we performed intravesical instillation of aluminum hydroxide gel, but without a clear effect and the patient developed hemorrhagic shock. Eventually, we performed bilateral ureterostomy because the disease was unresponsive to less invasive therapies. Vesical bleeding disappeared and the patient was discharged 32 days after surgery. The treatment for multiple myeloma has been continued without cyclophosphamide since surgery. |
著作権等: | 許諾条件により本文は2014-01-01に公開 |
URI: | http://hdl.handle.net/2433/168505 |
PubMed ID: | 23328165 |
出現コレクション: | Vol.58 No.12 |
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