1/7. Eosinophilic cystitis--diagnosis and treatment in denmark.OBJECTIVE: The purpose of this study was to evaluate the incidence, diagnostic criteria and treatment of eosinophilic cystitis (EC) in denmark during the period 1989-94. MATERIAL AND methods: A questionnaire was sent to all Danish departments of surgery, urology and pathology. RESULTS: Fifty-six cases of EC were diagnosed in the departments of surgery and urology, and 135 patients were diagnosed in the departments of pathology. The therapy was most often steroid instillation in the bladder or peroral antihistamines. Success rates of treatment were reported to be acceptable. CONCLUSION: The questionnaire confirmed that EC is a rare disease, which is often confused with other bladder diseases. We recommend strict histological criteria combined with clinical information when making the diagnosis of EC. Therapy is generally symptomatic. A diagnostic code number from the Danish health Board is needed.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |
2/7. Emphysematous cystitis: rapid resolution of symptoms with hyperbaric treatment: a case report.INTRODUCTION: Emphysematous cystitis is a rare disease that occurs most often in elderly diabetic patients characterized by gas formation in the bladder wall due to infection. The infecting organism is usually an aerobic bacterium, most commonly E. coli although anaerobic species have also been reported. We report the use of hyperbaric oxygen in a patient with emphysematous cystitis and air in the femoral vein in which the treatment rapidly resolved the symptoms and radiological abnormalities. methods: A 65-year-old female presented to the Emergency Department with altered mental status, weakness, dark urine, dysuria and fever. She was febrile and lethargic. Abdominal exam showed suprapubic tenderness. urinalysis was positive for white blood cells and bacteria. A CT scan of the abdomen demonstrated extensive air in the bladder wall with an air bubble in the femoral vein. Presumptive diagnosis was urinary tract infection, emphysematous cystitis, and sepsis. A question of air embolism was raised due to the intravascular gas. The patient was treated with hyperbaric oxygen (2.85 atm abs, 90 minutes) on two separate occasions in the first 12 hours. Within 24 hours, the patient's condition rapidly improved. Repeat CT scan 48 hours after admission showed near complete resolution of the emphysematous cystitis. The patient grew klebsiella pneumonia from her urine. CONCLUSIONS: Emphysematous cystitis is a rare condition caused by either aerobic or anaerobic bacteria and may be associated with both bladder wall and intravascular gas formation. Hyperbaric oxygen therapy has not been previously reported as a treatment modality. The rapid improvement in our patient may indicate a role for hyperbaric oxygen in addition to IV hydration and antibiotics in this disease.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |
3/7. Pelvic lipomatosis with cystitis cystica, cystitis glandularis and adenocarcinoma of the bladder: first reported case.Pelvic lipomatosis is a rare disease which may cause obstructive uropathy. It has been reported with cystitis cystica and cystitis glandularis. cystitis cystica and cystitis glandularis have been reported previously as progressing to adenocarcinoma of the bladder. The first reported case of pelvic lipomatosis, cystitis cystica, cystitis glandularis and adenocarcinoma of the bladder is presented and the literature reviewed.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |
4/7. Eosinophilic cystitis: a therapeutic challenge.Eosinophilic cystitis is a rare disease with only 42 cases reported since first described in 1960. We report a case in a twenty-four-year-old woman and present the different therapeutic alternatives. A review of all reported cases shows that except for children and male adults with benign prostatic hypertrophy, this is a chronic inflammatory process of unknown causation for which no specific therapy is available.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |
5/7. Phantom urinary bladder pain--case report.Phantom urinary phenomena are a relatively rare disease entity. literature search has revealed only one case following cystectomy, seven cases following spinal cord injury and several other cases in hemodialysis patients. This report presents a case of painful phantom bladder following cystectomy for chronic kidney and urinary tract infection. Treatment was directed toward sensory hyperstimulation for suppression of the subjective experience of the painful phantom. Lumbar sympathetic blocks and transcutaneous electrical stimulation were used. Competent coping mechanisms were increased through relaxation training and assertiveness training to deal with a medical problem which has no standard solution. The patient's response to the Comprehensive pain Control Program was excellent with an estimated 75% reduction in painful phantom perceptions. A brief discussion of the medical literature on the subject is presented.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |
6/7. Eosinophilic cystitis: advanced disease requiring surgical intervention.Eosinophilic cystitis, a rare disease of unknown origin, simulates bladder neoplasms and interstitial cystitis. Since the first report by Brown in 1959, 35 additional cases have appeared in the literature. Reported here are 3 cases with advanced forms of this disease which failed to respond to antibiotics, antihistamines, steroids, fulguration, and, finally were subjected to cystectomy and urinary diversion after periods of five to fifteen years.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |
7/7. clostridium perfringens emphysematous cystitis.Emphysematous cystitis is a rare disease and is usually caused by aerobic bacteria, most commonly escherichia coli. Only rarely have anaerobic bacteria been associated with this condition. We report a case of emphysematous cystitis due to clostridium perfringens with bacteremia in an elderly diabetic woman.- - - - - - - - - - ranking = 1keywords = rare disease (Clic here for more details about this article) |