Emphysematous cystitis

Caballero, Leticia Moreno; Campo, Raquel Navas; Muñoz, David Ibáñez

doi:10.1016/j.medcle.2020.09.008

Cited by 1 publication

(2 citation statements)

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“…The most commonly isolated pathogens are bacteria, especially Escherichia coli (70-75%), which have the property of producing gas and generating carbon dioxide by fermenting the high concentrations of glucose in the urine and tissues of affected patients. By accumulating acid radicals that lower the local pH, the bacteria themselves, which have specific enzymes, can convert the acids into carbon dioxide [4].…”

Section: Discussionmentioning

confidence: 99%

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Air in the Water: A Case of Emphysematous Cystitis and Point-of-Care Ultrasound in the Emergency Department

O Gómez Maria Alejandra,

O Cardozo Alejandro,

P García Manuel Alejandro

2023

Yemen J Med

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Emphysematous cystitis is a rare and potentially fatal complication of urinary tract infections. We present a case of bacterial emphysematous cystitis in a 59-year-old woman who presented with behavioral changes, aggression, visual hallucinations, unintentional weight loss, fecal incontinence, and occasional diarrhea for 2 months. The diagnosis was suspected by abdominal ultrasound and confirmed by abdominal computed tomography. This highlights the importance of imaging as a diagnostic tool for emphysematous cystitis, particularly point-of-care ultrasound in the emergency department, due to its sensitivity and freedom from radiation.

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Section: Discussionmentioning

confidence: 99%

“…Finally, computed tomography of the abdomen is the most sensitive and specific diagnostic tool that confirms the diagnosis and allows accurate assessment of the location, distribution of intramural air, and detection of intravesical air-fluid levels [4].…”

Section: Discussionmentioning

confidence: 99%