A case of emphysematous cystitis and bladder rupture

Hudnall, Matthew; Jordan, Brian J.; Horowitz, Jeanne M.; Kielb, Stephanie

doi:10.1016/j.eucr.2019.100860

Cited by 13 publications

(9 citation statements)

References 5 publications

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“…If debridement is not sufficient, partial cystectomy, or cystectomy and/or nephrectomy might be required. 9 According to the meta-analyses by Somani et al, surgical management was essential in 13% of the patients. 6 …”

Section: Discussionmentioning

confidence: 99%

Concurrent Bilateral Emphysematous Pyelonephritis and Emphysematous Cystitis: A Case Report of Glomerulonephritis Severe Complication

Godzisz¹,

Mitura²,

Widz³

et al. 2021

RRU

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Emphysematous pyelonephritis (EPN) and emphysematous cystitis (EC) are severe, necrotizing emphysematous urinary tract infections (EUTI) characterized by the presence of gas in the lumen and wall of the urinary tract and renal parenchyma. EUTIs are quite uncommon, but combination of bilateral EPN and EC is extremely rare. We report a case of 57-year-old diabetic female diagnosed with septic shock due to concurrent bilateral EPN and EC. Patient was successfully treated with a drainage of pelvicalyceal systems and the bladder combined with a conservative approach. This unique case presents a possible association between glomerulonephritis and EUTI.

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Section: Discussionmentioning

confidence: 99%

Concurrent Bilateral Emphysematous Pyelonephritis and Emphysematous Cystitis: A Case Report of Glomerulonephritis Severe Complication

Godzisz¹,

Mitura²,

Widz³

et al. 2021

RRU

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“…CT scan helps in diagnosis which can show air in the bladder or multiple air foci in the wall of a bladder appearing as “beaded necklace” appearance. [ 2 ] Spontaneous bladder perforation is rare[ 3 ] and may be difficult to diagnose, but CT cystography may help in such situation to rule out perforation. X-ray abdomen and ultrasonography may not be able to diagnose this condition conclusively.…”

Section: Discussionmentioning

confidence: 99%

A case report of emphysematous cystitis with spontaneous intraperitoneal bladder perforation in an operated case of prolapsed intervertebral disc

et al. 2021

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This is a case report of emphysematous cystitis with spontaneous intraperitoneal bladder perforation in postoperative period of pedicle fixation surgery for prolapse intervertebral disc (L3–L4). The patient developed urinary retention with overflow incontinence with abdominal tenderness and fever 3 days after orthopedic procedure which on computed tomography (CT) scan found to have abundant air in urinary bladder with multiple air foci in bladder wall with suspected leak into intraperitoneal pelvic cavity, proven only after CT cystogram.

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“…Emphysematous cystitis, a rare disease that results from a bladder infection leading to the accumulation of gas in the bladder wall, occurs most often in 50-70-year-old women with diabetes mellitus. 6,7 Patients with immune dysfunction or urinary diseases also have a higher incidence of EC than the general population. 8 EC is characterized by the general manifestations of bladder inflammation, such as frequent micturition, urgent micturition, dysuria, haematuria, pyuria, waist and abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

Severe emphysematous cystitis complicated with perforation, bilateral renal cortical atrophy and sepsis: a case report

2020

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Emphysematous cystitis (EC) is a rare bladder infection characterized by the presence of gas in the wall or cavity of the bladder. Most patients with EC will present with the typical symptoms of cystitis (e.g. frequent micturition, urgent micturition and dysuria), but other signs include distension and pain in the lower abdomen, drum sounds on percussion and a large amount of gas in the bladder. There can also be other complications such as sepsis. However, it is usually characterized by the typical symptoms of infection combined with pneumatinuria, the passage of gas mixed with urine. The early stage of EC is mostly limited to the submucosa and the symptoms of infection can be mild. Some patients may have no obvious clinical symptoms. If the infection becomes severe, it may result in difficulty urinating and kidney dysfunction. Therefore, timely treatment of these rare bladder infections is essential. This current case report describes an 80-year-old female patient with severe EC complicated by significant bilateral ureteral dilatation, bilateral renal cortical atrophy and sepsis. The patient was successfully treated with antibiotics and surgery. This report provides clinical data, test results and treatment experience that might be useful for clinicians that are involved in the treatment of EC.

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A case of emphysematous cystitis and bladder rupture

Abstract: This is a case of emphysematous cystitis with a rare complication of bladder rupture requiring surgical intervention in a diabetic man who presented with urinary retention and abdominal pain, with a large amount of intraperitoneal free air on computed tomography scan.

Cited by 13 publications

References 5 publications

Concurrent Bilateral Emphysematous Pyelonephritis and Emphysematous Cystitis: A Case Report of Glomerulonephritis Severe Complication

Concurrent Bilateral Emphysematous Pyelonephritis and Emphysematous Cystitis: A Case Report of Glomerulonephritis Severe Complication

A case report of emphysematous cystitis with spontaneous intraperitoneal bladder perforation in an operated case of prolapsed intervertebral disc

Severe emphysematous cystitis complicated with perforation, bilateral renal cortical atrophy and sepsis: a case report

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