La cystite emphysémateuse : à propos d’un cas

Biogeau, Julie; Lamandé, Mathieu; Ripault, Héliette; Léger, Isabelle; Dardaine-Giraud, Véronique

doi:10.1016/j.revmed.2017.12.008

Cited by 2 publications

(1 citation statement)

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“…The germs producing carbon dioxide attack not only the glucose present in the urine of diabetics, which causes gas to appear in the bladder cavity, but also the glucose contained in the parietal cells of the bladder, which results in by the appearance of carbon dioxide bubbles within the bladder wall itself [19]. However, individuals with normal tissue glucose concentration, such as non-diabetic patients or those with well-controlled diabetes, may also develop emphysematous cystitis in the presence of substrates such as lactose and albumin in the urine [22] [23]. The hemorrhagic character in emphysematous cystitis is the result of the activation of inflammatory molecular mechanisms which result in a diffuse cell death reaction: pyroptosis [12] [24].…”

Section: Discussionmentioning

confidence: 99%

Emphysematous Cystitis: Report of Two Cases and Review of the Literature

Banga-Mouss,

Mbamognoua,

Nyanga

et al. 2024

Health

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Emphysematous cystitis is a rare complication of lower urinary tract infection whose prognosis is conditioned by the delay in treatment. The predisposition of diabetic patients to urinary infections caused by gas-producing bacteria is considered one of the most common factors in the occurrence of emphysematous cystitis. The currently recommended diagnostic test is CT scanning, which has definite value in assessing gas accumulation in the bladder wall and lumen. The authors report the observations of two patients aged 68 and 80 who were treated for emphysematous cystitis complicating diabetes mellitus. The evolution was favorable under treatment with antibiotic therapy, insulin therapy and bladder drainage.

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