A case of gangrenous cystitis with bilateral hydronephrosis 10 years after radiotherapy
Abstract An 84‐year‐old woman who was admitted for protein‐losing gastroenteropathy associated with radiation enteritis 10 years after pelvic radiotherapy developed pyelonephritis. She became anuric despite having an indwelling bladder catheter. Imaging studies revealed bladder wall thickening, bila...
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Format: | Article |
Language: | English |
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Wiley
2023-05-01
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Series: | Journal of General and Family Medicine |
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Online Access: | https://doi.org/10.1002/jgf2.620 |
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author | Mariko Oniwa Yuki Kataoka Midori Yamada Takuya Miyagawa Takuro Sunada Hideyuki Konishi Gen Suzuki Yoko Fujita |
author_facet | Mariko Oniwa Yuki Kataoka Midori Yamada Takuya Miyagawa Takuro Sunada Hideyuki Konishi Gen Suzuki Yoko Fujita |
author_sort | Mariko Oniwa |
collection | DOAJ |
description | Abstract An 84‐year‐old woman who was admitted for protein‐losing gastroenteropathy associated with radiation enteritis 10 years after pelvic radiotherapy developed pyelonephritis. She became anuric despite having an indwelling bladder catheter. Imaging studies revealed bladder wall thickening, bilateral hydroureter formation, and hydronephrosis. Autopsy findings led to a diagnosis of gangrenous cystitis (GC). Our case indicates that radiation‐induced late effects may be an indirect cause of GC, not a direct cause as previously suggested, and that GC may induce bilateral vesicoureteral junction obstruction. |
format | Article |
id | doaj-art-409c8a9415ec44e38300e79d50120ed9 |
institution | Kabale University |
issn | 2189-7948 |
language | English |
publishDate | 2023-05-01 |
publisher | Wiley |
record_format | Article |
series | Journal of General and Family Medicine |
spelling | doaj-art-409c8a9415ec44e38300e79d50120ed92025-01-28T12:00:52ZengWileyJournal of General and Family Medicine2189-79482023-05-0124318518710.1002/jgf2.620A case of gangrenous cystitis with bilateral hydronephrosis 10 years after radiotherapyMariko Oniwa0Yuki Kataoka1Midori Yamada2Takuya Miyagawa3Takuro Sunada4Hideyuki Konishi5Gen Suzuki6Yoko Fujita7Department of Internal Medicine Kyoto Min‐iren Asukai Hospital Kyoto JapanDepartment of Internal Medicine Kyoto Min‐iren Asukai Hospital Kyoto JapanDepartment of Internal Medicine Kyoto Min‐iren Asukai Hospital Kyoto JapanDepartment of Internal Medicine Kyoto Min‐iren Asukai Hospital Kyoto JapanDepartment of Urology Kyoto University Kyoto JapanDepartment of Gastroenterology and Hepatology Kyoto Prefectural University of Medicine Kyoto JapanDepartment of Radiology Kyoto Prefectural University of Medicine Kyoto JapanDepartment of Pathology Kyoto Min‐iren Chuo Hospital Kyoto JapanAbstract An 84‐year‐old woman who was admitted for protein‐losing gastroenteropathy associated with radiation enteritis 10 years after pelvic radiotherapy developed pyelonephritis. She became anuric despite having an indwelling bladder catheter. Imaging studies revealed bladder wall thickening, bilateral hydroureter formation, and hydronephrosis. Autopsy findings led to a diagnosis of gangrenous cystitis (GC). Our case indicates that radiation‐induced late effects may be an indirect cause of GC, not a direct cause as previously suggested, and that GC may induce bilateral vesicoureteral junction obstruction.https://doi.org/10.1002/jgf2.620bilateral hydronephrosisgangrenous cystitishypoalbuminemiaradiation‐induced arteriopathyradiation‐induced late effectsurinary tract infection |
spellingShingle | Mariko Oniwa Yuki Kataoka Midori Yamada Takuya Miyagawa Takuro Sunada Hideyuki Konishi Gen Suzuki Yoko Fujita A case of gangrenous cystitis with bilateral hydronephrosis 10 years after radiotherapy Journal of General and Family Medicine bilateral hydronephrosis gangrenous cystitis hypoalbuminemia radiation‐induced arteriopathy radiation‐induced late effects urinary tract infection |
title | A case of gangrenous cystitis with bilateral hydronephrosis 10 years after radiotherapy |
title_full | A case of gangrenous cystitis with bilateral hydronephrosis 10 years after radiotherapy |
title_fullStr | A case of gangrenous cystitis with bilateral hydronephrosis 10 years after radiotherapy |
title_full_unstemmed | A case of gangrenous cystitis with bilateral hydronephrosis 10 years after radiotherapy |
title_short | A case of gangrenous cystitis with bilateral hydronephrosis 10 years after radiotherapy |
title_sort | case of gangrenous cystitis with bilateral hydronephrosis 10 years after radiotherapy |
topic | bilateral hydronephrosis gangrenous cystitis hypoalbuminemia radiation‐induced arteriopathy radiation‐induced late effects urinary tract infection |
url | https://doi.org/10.1002/jgf2.620 |
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