Successful treatment of BK virus-associated severe hemorrhagic cystitis with bilateral single-J ureteral stenting

被引：3

作者：

Fujita, Akira ^{[1
]}

Kobatake, Kohei ^{[1
]}

Fukushima, Takafumi ^{[1
]}

Takemoto, Kenshiro ^{[1
]}

Miyamoto, Syunsuke ^{[1
]}

Kitano, Hiroyuki ^{[1
]}

Ikeda, Kenichiro ^{[1
]}

Goto, Keisuke ^{[1
]}

Hieda, Keisuke ^{[1
]}

Karakawa, Shuhei ^{[2
]}

Hayashi, Tetsutaro ^{[1
]}

Teishima, Jun ^{[1
]}

Hinata, Nobuyuki ^{[1
]}

机构：

[1] Hiroshima Univ Hosp, Dept Urol, Hiroshima, Japan

[2] Hiroshima Univ Hosp, Dept Pediat, Hiroshima, Japan

来源：

IJU CASE REPORTS | 2022年 / 5卷 / 04期

关键词：

BK virus; hematopoietic stem cell transplantation; hemorrhagic cystitis; ureteral stent; urinary diversion; PREVENTION; TRANSPLANT; CHILDREN; CYSTECTOMY;

D O I：

10.1002/iju5.12445

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction: BK virus-associated hemorrhagic cystitis is a significant complication of hematopoietic stem cell transplantation. Although severe BK virus-associated hemorrhagic cystitis is associated with treatment-related mortality, sufficient evidence regarding its management is lacking. Case presentation: A 14-year-old boy presented with BK virus-associated hemorrhagic cystitis and bladder clot retention after hematopoietic stem cell transplantation. Various urological interventions failed to improve cystitis. While bladder clot retention frequently recurred, surgical intervention was difficult because of the underlying hematological disorder. Hence, bilateral single-J ureteral stenting followed by Foley catheter placement was performed as a urinary diversion. The bladder clot completely disappeared 27days after stenting. No additional procedure was required. BK virus-associated hemorrhagic cystitis did not recur after the blood clot disappeared. Conclusion: Bilateral single-J ureteral stenting followed by Foley catheter placement is a simple and effective treatment method and should be considered before surgical intervention for severe BK virus-associated hemorrhagic cystitis.

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页码：242 / 245

页数：4

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