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[Three cases of emphysematous cystitis].
Kazuyoshi Shigehara1, Yasuhide Kitagawa, Takao Nakashima
1The Department of Urology, Ishikawa Prefectural Central Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|June 9, 2006
Summary
Emphysematous cystitis, a rare bladder condition with gas in the bladder wall, was observed in three patients. Antibiotic treatment effectively resolved symptoms in all cases, highlighting a key therapeutic approach.
Area of Science:
- Urology
- Radiology
- Infectious Diseases
Background:
- Emphysematous cystitis is a rare condition characterized by gas within the bladder wall and lumen.
- It is a severe form of acute cystitis requiring prompt diagnosis and management.
Observation:
- Three distinct cases of emphysematous cystitis are presented.
- Case 1: A 71-year-old woman with gross hematuria diagnosed via intravenous pyelography and cystoscopy.
- Case 2: A 59-year-old man with abdominal fullness, diagnosed using abdominal radiography and CT scan.
- Case 3: A 67-year-old man with post-operative complications, incidentally diagnosed with emphysematous cystitis via CT scan.
Findings:
- Diagnostic imaging, including intravenous pyelography, abdominal radiography, and computed tomography (CT) scans, effectively identified gas within the bladder wall and lumen.
- All three patients presented with varying symptoms, including gross hematuria, abdominal fullness, diarrhea, and abdominal pain.
Implications:
- Emphysematous cystitis, though rare, can be diagnosed through various imaging modalities.
- Prompt antibiotic treatment is an effective strategy for managing symptoms associated with emphysematous cystitis.
- This case series underscores the importance of recognizing imaging findings suggestive of emphysematous cystitis for timely intervention.