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[Emphysematous cystitis].

F J Calahorra Fernández, R Díaz González, M Pamplona

    Actas Urologicas Espanolas
    |September 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

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    Emphysematous cystitis is a rare condition, often seen in older women, particularly those with diabetes. Prompt diagnosis and treatment lead to favorable outcomes for this uncommon bladder inflammation.

    Area of Science:

    • Urology
    • Radiology
    • Endocrinology

    Background:

    • Emphysematous cystitis is a rare clinical and radiological entity, with approximately 160 cases reported in the literature.
    • This study presents five cases of emphysematous cystitis in women aged 60-80, with an average age of 74.2.

    Observation:

    • Four out of five patients had a history of diabetes mellitus, with elevated blood glucose levels at the time of presentation.
    • Key symptoms included typical cystitis symptoms, hypogastric pain, and macroscopic hematuria. Notably, pneumaturia was not observed in any case.
    • Simple abdominal radiography was the primary diagnostic tool employed in all cases.

    Findings:

    • Emphysematous cystitis predominantly affects elderly women, frequently associated with uncontrolled diabetes mellitus.

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  • Clinical presentation typically involves cystitis symptoms, lower abdominal pain, and hematuria, without pneumaturia.
  • Radiological imaging of the abdomen is effective for diagnosing this condition.

    • Implications:

    • Early recognition and diagnosis of emphysematous cystitis are crucial for effective management.
    • The strong association with diabetes highlights the importance of glycemic control in preventing or managing this condition.
    • Standard radiological procedures and appropriate treatment facilitate a positive clinical outcome.