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Unusual gas pattern in emphysematous cystitis: a case report.
Yung-Shun Juan1, Shu-Mien Chuang, Jung-Tsung Shen
1Department of Urology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan.
The Kaohsiung Journal of Medical Sciences
|March 10, 2005
Summary
Emphysematous cystitis, a urinary bladder infection with gas, can present unusually. Early diagnosis and treatment, including antibiotics and blood sugar control, lead to a good prognosis.
Area of Science:
- Urology
- Infectious Diseases
- Radiology
Background:
- Emphysematous cystitis is a rare, acute urinary tract infection characterized by gas within the bladder wall or lumen.
- It predominantly affects patients with diabetes mellitus and can mimic other intra-abdominal processes.
Observation:
- A case of emphysematous cystitis in a 43-year-old female is presented.
- The patient exhibited an unusual gas pattern solely within the urinary bladder, lacking typical bladder wall thickening or intramural gas.
Findings:
- The unusual presentation necessitated a broad differential diagnosis, including postoperative states, enterovesical fistula, and iatrogenic causes.
- Prompt diagnosis and management are crucial for favorable outcomes.
Implications:
- Emphysematous cystitis generally has a good prognosis with timely antibiotic therapy, glycemic control, and adequate urinary drainage.
- This case highlights the importance of considering atypical presentations in diagnosing and managing this condition.