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[Emphysematous cystitis: case report].

Daniel Pérez Fentes¹, Miguel Blanco Parra, José Lema Grille

¹Servicio de Urología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, España. danielfentes@yahoo.es

Archivos Espanoles De Urologia

|September 2, 2009

Summary

This summary is machine-generated.

Emphysematous cystitis, a rare bladder infection common in diabetic women, is diagnosed via imaging and treated with antibiotics and bladder drainage. Prompt management ensures a generally benign outcome, though complications can necessitate surgery.

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Area of Science:

Urology
Infectious Diseases
Radiology

Background:

Emphysematous cystitis is a rare, potentially serious bladder infection.
It predominantly affects women with type II diabetes mellitus.
Infection involves gas-producing microorganisms, most commonly Escherichia coli.

Observation:

A case of emphysematous cystitis in a 91-year-old diabetic woman presenting with jaundice, hematuria, vomiting, and abdominal pain.
Diagnosis was confirmed using plain abdominal X-ray, ultrasonography, and computed tomography (CT) scan.
Urinary culture isolated E. coli.

Findings:

Treatment involved intravenous antibiotics (piperacillin-tazobactam), bladder catheterization, and strict glycemic control.
The patient showed complete clinical, radiological, and microbiological resolution.
Follow-up treatment included oral amoxicillin-clavulanic and continued bladder catheterization.

Implications:

Emphysematous cystitis diagnosis relies heavily on radiological findings, particularly CT scans.
Management focuses on antibiotics, glycemic control, and bladder drainage.
While typically benign, 10-20% of cases may develop complications requiring surgical intervention.