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[A case of emphysematous cystitis : a case report]
Masao Kobayashi1, Toshiro Kinouchi, Tatsuya Kinoshita
1The Department of Urology, Ikeda City Hospital, Japan.
Hinyokika Kiyo. Acta Urologica Japonica
|July 29, 2011
Summary
Emphysematous cystitis, a rare urinary tract infection, can occur with diabetes and cancer. This case highlights successful treatment with catheterization and antibiotics.
Area of Science:
- Urology
- Infectious Diseases
Background:
- Emphysematous cystitis is a rare, gas-forming infection of the urinary bladder.
- It is often associated with underlying conditions such as diabetes mellitus.
Observation:
- An 81-year-old woman presented with nausea, vomiting, and hematuria.
- Imaging revealed a gaseous shadow within the bladder wall.
- Escherichia coli was identified in urine culture.
Findings:
- The patient had co-existing diabetes mellitus and transverse colon cancer.
- Treatment with urethral catheterization and antibiotics led to significant clinical improvement.
Implications:
- This case adds to the limited Japanese literature on emphysematous cystitis.
- Early diagnosis and appropriate management are crucial for favorable outcomes in this rare condition.
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