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ISSN 2305-7939 (Electronic)

2019, Number 3

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RCU 2019; 8 (3)

Anestesiological management in partial cystectomy due to eosinophilic granuloma

Piñón GK, Pozo RJA, Almeida EY, Toledo CY

Language: Spanish
References: 10
Page: 251-257
PDF size: 729.51 Kb.


ABSTRACT

Introduction: Eosinophilic cystitis is an unusual inflammation of the bladder that can simulate other entities. The surgical treatment is infrequent and the anesthesiologist must provide care to patients with this disease.
Objective: To describe the anestesiological handling of a patient that received urgent surgical treatment due to presenting a subjective tumor syndrome of bladder abscess and that through histological study confirmed the diagnosis of eosinophilic granuloma.
Clinical case: A 24 years old, female, white skin patient with antimicrobial treatment due to an abdominal wall´s abscess some days before the consultation. She referred intense pain in the hypogastrium, accompanied by fever of 38-39 ºC and hematuria. By means of the physical examination and the complementary tests, it was diagnosed a bladder abscess. With combined anesthesia (general orotracheal intubation and regional epidural with catheter) is performed the surgery with favourable results. She was discharged eight days after the surgery.
Conclusions: Eosinophilic cystitis is a rare entity, whose definitive diagnosis is the anatomopathological study. The use of combined anesthesia (general orotracheal intubation and regional epidural with catheter) in the anestesiological management of the patient with eosinophilic granuloma allows a satisfactory surgical treatment.


REFERENCES

  1. Chia D. Eosinophilic cystitis and haematuria: Case report of a rare disease and common presentation. Rev Int J Surg Case Rep. 2016 [acceso: 27/07/2019]; 24:43-5. Disponible en: https://www.sciencedirect.com/science/article /pii/S2210261216301195

  2. Rossanese M, Palumbo V, Sioletic S, Crestani A, Giannarini G, Ficarra V. Surgical treatment of Eosinophilic cystitis in adults: A report of two cases and a literature review. Rev Urol Int. 2018 [acceso: 27/07/2019]. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/295546 47

  3. Piedade C, Ramos M, Heitor F, Castro L, Ochoa de Castro A. Cistitis eosinofílica. Causa rara de disuria. Rev An Pediatr (Barc). 2014 [acceso: 27/07/2019]; 80(2):29-30. Disponible en: https://www.analesdepediatria.org/es-cistitiseosinofilica- causa-rara-disuria-articulo- S1695403313001665

  4. Li G, Cai B, Song H and Yang Z. Clinical and radiological character of eosinophilic cistitis. Int J Clin Exp Med. 2015 [acceso: 27/07/2019]; 8:533-9. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/?term= Li+G%2C+Cai+B%2C+Song+H+and+Yang+Z%3A+ Clinical+and+radiological+character+of+eosinop hilic+cystitis.Int+J+ClinExp+Med.8%3A533%E2% 80%93539.2015

  5. Shaocong Z, Yufeng L, Dao W, Bai L, Shufang S and Linlin W. Eosinophilic cystitis in children: A report of 7 cases and literature review. J Clin Pediatr. 2017 [acceso: 27/07/2019]; 35:304-6. Disponible en: http://wprim.whocc.org.cn/admin/article/articl eDetail?WPRIMID=606518&articleId=606518

  6. Pérez Niño JF, Riveros García S. Cistitis eosinofílica: un diagnóstico diferencial de las neoplasias de vejiga en pediatría. Reporte de un caso y revisión de la literatura. Rev Urol Colomb. 2009 [acceso: 27/07/2019]; 13(2):87-92. Disponible en: https://www.researchgate.net/publication/283 20706_

  7. Ebel Sepulveda LF, Foneron A, Troncoso L, Cañoles R, Carrasco C, Hornig A, et al. Cistitis eosinofílica: Revisión y reporte de dos casos. Rev Actas Urol Esp. 2009 [acceso: 27/07/2019]; 33(4): 443-6. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_artte xt&pid=S0210-48062009000400018

  8. Quinta A, Carvalho AP, Oliveira M, Oliveira C, Ribeiro Santos A. Cistitis eosinofílica simulando recidiva de una neoplasia urotelial agresiva. Rev Arch. Esp. Urol. 2012 [acceso: 27/07/2019]; 65(10):891-4. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codi go=4098993

  9. Itano NM, Malek RS. Eosinophilic cistitis in adults. J Urol. 2001 [acceso: 27/07/2019]; 165(3):805-7. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/111764 73

  10. Thijssen A, Gerridzen RG. Eosinophilic cystitis presenting as invasive bladder cancer: comments on pathogenesis and management. J Urol. 1990 [acceso: 27/07/2019]; 144(4):977-9. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/2204734




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