Open AccessRecurrent hemorrhagic shock from hemorrhagic cystitis due to neurogenic bladder
Author(s) -
Isobe Teruki,
Matsui Kenji,
Ishioka Kunihiro,
Mochida Yasuhiro,
Moriya Hidekazu,
Hidaka Sumi,
Ohtake Takayasu,
Etani Toshiki,
Yasui Takahiro,
Kobayashi Shuzo
Publication year - 2021
Publication title -
iju case reports
Language(s) - English
Resource type - Journals
ISSN - 2577-171X
DOI - 10.1002/iju5.12354
Subject(s) - hemorrhagic cystitis , hemorrhagic shock , medicine , complication , shock (circulatory) , interstitial cystitis , surgery , urinary system , chemotherapy , cyclophosphamide
Hemorrhagic cystitis is characterized by gross hematuria, with hemorrhagic shock a rare complication. However, to our knowledge, its exact frequency has not been reported. Case presentation We report a case of an 86‐year‐old woman who showed repeated hemorrhagic cystitis with massive bleeding and hemorrhagic shock. The hemorrhagic cystitis was supposedly caused by the administration of aspirin and a neurogenic bladder. A urethral catheter was indwelled and hemorrhagic cystitis subsequently ceased. Conclusion A review of patients with hemorrhagic cystitis at our hospital showed that only 3.3% experienced hemorrhagic shock. This case was even rarer because the patient experienced recurrent hemorrhagic shocks. A neurogenic bladder, which reduces the bladder’s ability to function as a uroepithelial barrier against recurrent bacterial infections, caused the condition in this case. This report highlights how hemorrhagic cystitis can sometimes cause hemorrhagic shock.