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Emphysematous cystitis presenting as severe confusion and abdominal pain: two case reports
Vincent De Coninck1, Dirk Michielsen2
1Department of Urology, University Hospital (UZ), Laarbeeklaan 101, 1090, Brussels, Belgium. vincent.deconinck@uzbrussel.be.
Introduction:
Emphysematous cystitis is a very rare complicated urinary tract infection characterized by air in the bladder wall.
Case Presentation:
We report two clinical cases of emphysematous cystitis of an 83-year-old Caucasian woman with diabetes mellitus and a 78-year-old Caucasian man with no past medical history. They presented with severe confusion and abdominal distension. Emphysematous cystitis was diagnosed in time with a thorough physical examination, urine analysis and computed tomography. The patients were successfully treated with antibiotic therapy and bladder drainage.
Conclusion:
This rare disorder should be recognized in time and treated properly to guarantee survival.
