Emphysematous Cystitis: A Case Report Emphysematous Cystitis

Year 2019, Volume: 10 Issue: 2, 65 - 67, 01.04.2019

Neşe Nur User , Ayse Ertekin

https://doi.org/10.33706/jemcr.551142

Abstract

Introduction: Emphysematous cystitis (EC) is an infectious cystitis characterized by gas formation in the urinary
tract and usually caused by gas forming Escherichia coli or Klebsiella pneumoniae strains.
The gas accumulates in the bladder wall can be seen by computerized
tomography (CT). Therefore, CT is used for
accurate diagnosis.

Case Report: A 69-year-olddiabetic man had
lung adenocarcinoma presented by abdominal pain
for a week. He had type 2 diabetes mellitus for two years and he received first
chemotherapy cure approximately three weeks before. The patient was oriented,
afebrile and normotensive. On physical examination, he has only suprapubic
tenderness. Abdomino-pelvic CT was performed, and it showed that bladder wall was diffusely
thickened, with the largest measurement of 18 mm. Accumulation of the air within the
bladder wall was detected. The result of urine culture revealed more than 20.000
colonies of Klebsiella pneumonia. The
patient was diagnosed with emphysematous cystitis then
he was hospitalized, and
intravenous piperacillin/tazobactam treatment was initiated.

Conclusion: It is very important to make a definite diagnosis in
EC. EC should be kept in mind in diabetic patients with
abdominal pain.

Keywords

Emphysematous cystitis, Computed tomography

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