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Case Report

Open Access

Urinary peritonitis caused by gangrenous cystitis

  • BOUBAKER CHARRA1
  • ABDELHAMID HACHIMI1
  • MUSTAPHA SODKI1
  • HOUDA GUEDDARI1
  • ABDELLATIF BENSLAMA1
  • SAID MOTAOUAKKIL1

1Medical Intensive Care Unit, Ibn Rochd University Hospital

DOI: 10.22514/SV32.102008.3 Vol.3,Issue 2,October 2008 pp.32-33

Published: 01 October 2008

*Corresponding Author(s): SAID MOTAOUAKKIL E-mail: smotaouakkil@yahoo.fr

Abstract

We report a case of a young man who developed severe urinary sepsis, on the 21st day of hospitalization (DH), which was treated with ciprofloxacin and gentamicin. On the 30th DH, he developed bloodstream and urinary infections due to Acinetobacter baumannii which had been treated with colistin and rifampicin. On the 55th DH, he developed urinary peritonitis and necrosis of the anterior and posterior bladder wall. Bilateral ureterostomy was performed. The patient was treated with colistin and imipenem. Peritoneal fluid culture yielded Enterobacter cloacae susceptible to imipenem. An enterocystoplasty was performed. The outcome was favourable.

Keywords

peritonitis, Acinetobacter baumannii, colistin, rifampicin

Cite and Share

BOUBAKER CHARRA,ABDELHAMID HACHIMI,MUSTAPHA SODKI,HOUDA GUEDDARI,ABDELLATIF BENSLAMA,SAID MOTAOUAKKIL. Urinary peritonitis caused by gangrenous cystitis. Signa Vitae. 2008. 3(2);32-33.

References

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2. Bragança N, Cruz T, Fonseca J, Faria M, Partidário J. Gangrenous cystitis. Acta Med Port 2001 May-Jun;14(3):357-9.

3. Raza A, Balsitis M, Hosie KB. Gangrenous cystitis: a rare cause of colovesical fistula. Postgrad Med J 1999;75:34-5.

4. Pollard SG. Colovesical fistula. Ann R Coll Surg 1987;69:163–5.

5. Devitt AT, Sethia KK. Gangrenous cystitis. Case report and review of the literature. J Urol 1993;149:1544-5.

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