気尿症
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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/05/19 07:41:31」(JST)
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Pneumaturia |
Classification and external resources |
DiseasesDB |
30912 |
Pneumaturia is the passage of gas or "air" in urine. This may be seen or described as "bubbles in the urine".
Causes
Emphysematous cystitis in computertomography
A common cause of pneumaturia is colovesical fistula (communication between the colon and bladder). These may occur as a complication of diverticular disease.
Other key differentials:
- Crohn's disease
- Carcinoma of the colon or bladder
- A gas-producing UTI (emphysematous cystitis: rare).
Male scuba divers utilizing condom catheters or the female divers utilizing She-p external catching device for their dry suits are also susceptible to pneumaturia.[1]
Diagnosis
Diagnosis is made by patient history of passing air or a sputtering urine stream. CT scans may show air in the urinary bladder or bladder walls.
References
- ^ Harris, Richard (December 2009). "Genitourinary infection and barotrauma as complications of 'P-valve' use in drysuit divers". Diving and Hyperbaric Medicine : the Journal of the South Pacific Underwater Medicine Society 39 (4): 210–2. PMID 22752741. Retrieved 2013-04-04.
Symptoms and signs: urinary system (R30–R39, 788)
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Pain |
- Renal colic
- Costovertebral angle tenderness
- Dysuria
- Vesical tenesmus
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Control |
- Urinary incontinence/Enuresis
- Diurnal enuresis
- Giggling
- Nocturnal enuresis
- Post-void dribbling
- Stress
- Urge
- Overflow
- Urinary retention
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Volume |
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Other urination disorders |
- Lower urinary tract symptoms
- Nocturia
- Urinary urgency
- Urinary frequency
- Extravasation of urine
- Extrarenal uremia
- Urinoma
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Index of the urinary system
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Description |
- Anatomy
- Physiology
- Development
- Cells
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Disease |
- Electrolyte and acid-base
- Congenital
- Neoplasms and cancer
- Other
- Symptoms and signs
- Urine tests
- Blood tests
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Treatment |
- Procedures
- Drugs
- Intravenous fluids
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UpToDate Contents
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English Journal
- Curative resection for locally advanced sigmoid colon cancer using neoadjuvant chemotherapy with FOLFOX plus panitumumab: A case report.
- Tomizawa K1, Miura Y2, Fukui Y3, Hanaoka Y3, Toda S3, Moriyama J3, Inoshita N4, Ozaki Y2, Takano T2, Matoba S3, Kuroyanagi H3.
- International journal of surgery case reports.Int J Surg Case Rep.2017;31:128-131. doi: 10.1016/j.ijscr.2017.01.027. Epub 2017 Jan 17.
- PMID 28135678
- Spontaneous uretero-sigmoid fistula secondary to calculus.
- Marzouk I1, Moussa M2, Saadallah L3, Bouchoucha S2, Hendaoui L1.
- Canadian Urological Association journal = Journal de l'Association des urologues du Canada.Can Urol Assoc J.2016 Nov-Dec;10(11-12):E401-E403. doi: 10.5489/cuaj.3402. Epub 2016 Nov 10.
- PMID 28096928
- Bladder rupture secondary to emphysematous bladder: A diabetic patient report.
- Balança A1.
- Annals of physical and rehabilitation medicine.Ann Phys Rehabil Med.2016 Sep;59S:e106. doi: 10.1016/j.rehab.2016.07.235.
- PMID 27676715
Japanese Journal
- Delayed anastomotic leakage following laparoscopic intersphincteric resection for lower rectal cancer: report of four cases and literature review
- Iwamoto Masayoshi,Kawada Kenji,Hida Koya,Hasegawa Suguru,Sakai Yoshiharu
- World journal of surgical oncology (15), 2017-08-01
- … He presented with pneumaturia and fecaluria, and an anastomotic-urethral fistula was observed 4 months after ISR. …
- NAID 120006545197
- 潰瘍性大腸炎の長期治療中にS状結腸膀胱瘻を契機に発見されたS状結腸原発悪性リンパ腫の1例
- 小河 孝輔,清水 洋祐,土橋 一成,木田 和貴,金丸 聰淳,田中 康博,石原 美佐,橋本 公夫,伊藤 哲之
- 泌尿器科紀要 = Acta urologica Japonica 63(8), 319-322, 2017-08
- … Erratum (Author's Name Correction): Kazunari Kida → Kazutaka KidaA 73-year-old male patient with a 16-year history of ulcerative colitis presented to our hospital with a history of pneumaturia and fever. …
- NAID 120006345035
- 腹腔鏡下手術を行ったS状結腸憩室による結腸膀胱瘻の2例
- 水川 卓丈,小出 紀正
- 日本外科系連合学会誌 42(4), 703-710, 2017
- <p>症例1.42歳男性.排尿時痛,発熱を主訴に近医を受診.抗生剤加療するも改善なく,気尿を認めたため膀胱消化管瘻疑いで当院へ紹介受診した.既往歴に糖尿病があり,BMI42kg/m<sup>2</sup>と高度肥満であったため手術リスクが高いと判断し,保存的加療,減量後に手術方針とした.保存的加療1カ月後,腹腔鏡補助下にS状結腸切除,膀胱部分切除術を施行した.術 …
- NAID 130007475278
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Related Pictures
★リンクテーブル★
[★]
- 英
- pneumaturia
- 関
- 気尿症、混濁尿、膀胱直腸瘻
- 排尿時に外尿道口から気体/気泡の排出をみるもの。
- 原因:
-
- 大腸癌の膀胱浸潤
- 憩室炎やクローン病など炎症性疾患による膀胱への穿通
- 経尿道操作による膀胱から直腸への穿通
- 前立腺手術後の尿道直腸瘻
[★]
- 英
- pneumaturia
- 関
- 気尿