A case of emphysematous cystitis diagnosed by exploratory laparotomy

Area of Science:

• Urology
• Infectious Diseases
• Radiology

Background:

• Emphysematous cystitis is a rare, severe urinary tract infection characterized by gas in the bladder wall.
• Typical symptoms include dysuria, urinary frequency, and lower abdominal pain.

Observation:

• A rare case of emphysematous cystitis presented with atypical peritoneal signs.
• Computed tomography revealed massive intra-peritoneal fluid collection and abnormal gas in the pelvic space.

Findings:

• The patient underwent exploratory laparotomy due to acute abdomen presentation.
• Diagnosis of emphysematous cystitis was confirmed intraoperatively.
• This is the first reported case of emphysematous cystitis associated with intra-peritoneal fluid collection.

Implications:

• This case expands the spectrum of clinical presentations for emphysematous cystitis.
• Highlights the importance of considering unusual diagnoses in acute abdominal cases.
• Suggests potential for intra-peritoneal complications in severe urinary tract infections.