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2024, Number 3

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Acta Med 2024; 22 (3)

Emphysematous cystitis, clinical-radiological findings

Isern VI, Ramón CCJ, Castrillo GS, Montes AMP, Hernández AM
Full text How to cite this article 10.35366/116833

DOI

DOI: 10.35366/116833
URL: https://dx.doi.org/10.35366/116833

Language: Spanish
References: 5
Page: 233-235
PDF size: 160.94 Kb.


Key words:

cystitis, Escherichia coli, computed tomography, X-rays.

ABSTRACT

Introduction: severe but uncommon emphysematous cystitis primarily affects diabetic patients. Early detection is crucial in decompensated diabetic individuals with urinary tract infections. Radiological findings are diagnostic. Clinical case: a 70-year-old patient presents with general discomfort, acute kidney injury, and elevated acute phase reactants. X-rays reveal gas in the bladder wall, indicative of emphysematous cystitis. Conclusion: emphysematous cystitis is rare but potentially severe. Antibiotic treatment, bladder drainage, and proper glycemic control usually lead to a favorable prognosis.


REFERENCES

  1. Bailey H. Cystitis emphysematosa; 19 cases with intraluminal and interstitial collections of gas. Am J Roentgenol Radium Ther Nucl Med. 1961; 86: 850-862.

  2. Thomas AA, Lane BR, Thomas AZ, Remer EM, Campbell SC, Shoskes DA. Emphysematous cystitis: a review of 135 cases. BJU Int. 2007; 100 (1): 17-20.

  3. Yoshida K, Murao K, Fukuda N, Tamura Y, Ishida T. Emphysematous cystitis with diabetic neurogenic bladder. Intern Med. 2010; 49 (17): 1879-1883.

  4. Grupper M, Kravtsov A, Potasman I. Emphysematous cystitis: illustrative case report and review of the literature. Medicine (Baltimore). 2007; 86 (1): 47-53.

  5. Barclay-Buchanan CJ, Irving S. Emphysematous cystitis. Visual J Emerg Med. 2016; 4: 47-48.




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Acta Med. 2024;22