膀胱和上尿路上皮癌患者肾输尿管切除术后膀胱内灌注卡介苗引起腹膜结核:1例报告。

IF 1.6 4区医学 Q2 Medicine

Acta Clinica Belgica Pub Date : 2023-06-01 DOI:10.1080/17843286.2022.2110688

Charlotte Allaeys, Pieter De Backer, Karel Decaestecker, Camille Berquin, Karen Decaestecker, Steven Callens, Charles Van Praet

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引用次数: 1

摘要

背景:高危非肌侵性膀胱癌(NMIBC)的标准治疗是经尿道膀胱切除术(TURB)后灌注卡介苗(BCG)。膀胱内注射卡介苗后发生腹膜结核极为罕见且难以诊断。方法:我们报告一例79岁男性肾和膀胱尿路上皮细胞癌(UCC)患者在连续TURB和肾输尿管切除术后膀胱内灌注BCG后发生腹膜结核。进一步的检查发现了未确诊的膀胱渗漏。结论:本病例提示泌尿科医师在膀胱手术后不久给予卡介苗时应怀疑尿路上皮不连续性。

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Peritoneal tuberculosis caused by intravesical instillation with Bacillus Calmette-Guérin (BCG) following nephroureterectomy in a patient with bladder and upper tract urothelial cancer: a case report.

Background: The standard treatment for high-risk non-muscle-invasive bladder cancer (NMIBC) is trans-urethral resection of the bladder (TURB) followed by instillation of Bacillus Calmette-Guérin (BCG). The occurrence of peritoneal tuberculosis after intravesical BCG instillation is extremely rare and difficult to diagnose.

Methods: We report the case of a 79-year-old man with urothelial cell carcinoma (UCC) of the kidney and bladder who developed peritoneal tuberculosis after consecutive TURB and nephroureterectomy followed by intravesical BCG instillation. Further investigation revealed an undiagnosed bladder leak.

Conclusion: This case serves as a reminder for urologists to be suspicious for urothelium discontinuity when administering BCG shortly after bladder surgery.

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来源期刊

Acta Clinica Belgica 医学-医学：内科

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine primarily publishes papers on clinical medicine, clinical chemistry, pathology and molecular biology, provided they describe results which contribute to our understanding of clinical problems or describe new methods applicable to clinical investigation. Readership includes physicians, pathologists, pharmacists and physicians working in non-academic and academic hospitals, practicing internal medicine and its subspecialties.