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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Main Authors: Mariko Oniwa, Yuki Kataoka, Midori Yamada, Takuya Miyagawa, Takuro Sunada, Hideyuki Konishi, Gen Suzuki, Yoko Fujita
Format: Article
Language:English
Published: Wiley 2023-05-01
Series:Journal of General and Family Medicine
Subjects:
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.
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institution Kabale University
issn 2189-7948
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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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