Gangrenous Cystitis in A Woman Following Vaginal Delivery: An Uncommon Occurrence - A Case Report

Peritonitis aguda secundaria a cistitis gangrenosa posparto

“…Esta fue descrita inicialmente en 1650. Generalmente aparece en pacientes de edad avanzada y afecta predominantemente a pacientes con comorbilidades asociadas, como diabetes, lesiones de la médula espinal, neoplasias pélvicas o litiasis (3) .…”

“…La cistitis gangrenosa es una afección infecciosa sumamente rara, con solo 33 casos reportados en los últimos 75 años, pero potencialmente mortal (1) . Su severidad varía desde necrosis de mucosa -submucosa hasta necrosis de toda la pared vesical (2,3) . La etiología es multifactorial y la sintomatología es inespecífica, lo cual la convierte indistinguible de otras afecciones urológicas comunes, por lo que el diagnóstico preciso puede ser difícil y generalmente es realizado cuando existen manifestaciones de peritonitis aguda.…”

Acute Diffuse Peritonitis Caused by Urinary Retention: A Rare Case of Gangrenous Cystitis

“…This is more frequently attributed to chronic urine retention with concomitant overdistension, whereas trauma to the pelvis or pelvic vascular supply, extravesical pressure and circulatory obstruction (mainly attributed to pelvic malignancies), prolonged labor, and blockage of arterial or venous channels (by either infection or emboli) have also been described [10]. Additionally, hydrodistension (which was a common treatment strategy for interstitial cystitis) and BOO (bladder outlet obstruction) due to benign prostatic hyperplasia have been reported in the literature as causes of bladder necrosis [11, 12].…”

https://researchopenworld.com/bladder-necrosis-due-to-septic-shock/#

“…The left side of Bloom JA (2020) Bladder Necrosis Due to Septic Shock the retroperitoneum and pelvis were opened, and debridement of the necrotic retroperitoneal tissue was performed. A 19 Fr blake drain was placed intra peritoneally for direct peritoneal resuscitation [4,5].…”