Successful treatment for bladder hemorrhage with intravesical alum irrigation to one patient with moderate renal disfunction
10.2512/jspm.9.542
- VernacularTitle:転移性膀胱腫瘍による膀胱出血に対し1％ミョウバン水（硫酸アルミニウムカリウム）持続灌流療法が奏功した中等度腎機能障害の1例
- Author:
Hidehiro Hojo
;
Yoshihisa Matsumoto
;
Hiroaki Kunogi
;
Keiko Abe
;
Hiroya Kinoshita
- Publication Type:Journal Article
- Keywords:
bladder hemorrhage;
alum irrigation;
renal dysfunction
- From:Palliative Care Research
2014;9(4):542-545
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of successful treatment for bladder hemorrhage with intravesical alum irrigation. A 60 s woman, who had renal pelvis carcinoma and moderate renal dysfunction（eGFR＝48 mL／min／1.73 m2）, was hospitalized to our palliative care unit, for pain control of her lumber metastasis. During hospitalization, the patient showed dysuria and a lot of intravesical blood coagulum, which was caused from bladder metastasis. After bladder flushing, continuous bladder irrigation with saline was started. However, when we reduced the irrigation speed, dysuria appeared again. Thus, we started intravesical alum irrigation. Six days after this irrigation has started, we stopped the irrigation because no gross hematuria was seen any more. On the blood test done ninth day after irrigation, serum alminium level was 0.4μg／dL（normal value＜0.8μg／dL）. Three months after discharge from the hospital, the patient died, however, no gross hematuria or anuria were seen up to that time. Serious adverse effects with intracesical alum irrigation were reported in patients with renal dysfunction. However, if the renal dysfunction was moderate, intravesical alum irrigation with reduced doses seem to be safe and effective.
