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Related Experiment Videos

Emphysematous cystitis with venous bubbles.

Eiji Karashima1, Jun-Ichi Ejima, Hirofumi Nakamura

  • 1Department of Cardiology, National Fukuoka Higashi Medical Center.

Internal Medicine (Tokyo, Japan)
|July 16, 2005
PubMed
Summary

A urinary tract infection caused gas bubbles to enter a woman's bloodstream, leading to a transient ischemic attack. Prompt urinary drainage and antibiotics resolved the condition, preventing further complications.

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Area of Science:

  • Urology
  • Cardiology
  • Infectious Diseases

Background:

  • A case study of an 86-year-old woman with a history of neurogenic bladder and chronic atrial fibrillation presenting with anuria.
  • The patient experienced a transient ischemic attack (TIA) two days prior to admission.

Observation:

  • Echocardiography revealed gas bubbles in the right atrium, right ventricle, and inferior vena cava.
  • Computed tomography (CT) demonstrated gas accumulation within the bladder wall and lumen.

Findings:

  • The patient recovered fully after initiating urinary drainage and antibiotic therapy.
  • Gas bubbles were no longer detected post-treatment, suggesting resolution of the underlying condition.

Implications:

Related Experiment Videos

  • This case highlights a rare instance of gas embolism originating from the urinary tract.
  • Bacterial injury to the bladder wall coupled with elevated intravesical pressure is hypothesized as the mechanism for gas entering the venous system.
  • Prompt diagnosis and management are crucial for favorable outcomes in similar cases.