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[A Case of Emphysematous Cystitis with Bladder Diverticulum].
Shinya Kajiwara1, Hiroshi Matsuura2, Shigeki Arase2
1The Department of Urology, Nephro-Urologic Surgery and Andrology, Mie University Graduate School of Medicine.
Hinyokika Kiyo. Acta Urologica Japonica
|September 15, 2016
Summary
Emphysematous cystitis (EC), a rare urinary tract infection, can occur with bladder diverticulum. This case highlights diabetes and urinary retention as potential contributing factors to EC development.
Area of Science:
- Urology
- Infectious Diseases
Background:
- Emphysematous cystitis (EC) is a severe, uncommon urinary tract infection characterized by gas in the bladder wall.
- Bladder diverticula are outpouchings of the bladder wall that can lead to incomplete emptying and urine stagnation.
Observation:
- A 77-year-old male with diabetes presented with hematuria and pneumaturia.
- Diagnosis of EC and a large bladder diverticulum was confirmed via CT scan and cystoscopy.
- The diverticulum caused significant residual urine, suggesting a neurogenic component.
Findings:
- Gas within the bladder wall and lumen confirmed EC.
- The large bladder diverticulum was identified as a key anatomical abnormality.
- Diabetes mellitus and urinary retention were considered primary risk factors for EC.
Implications:
- This case underscores the importance of identifying and managing bladder diverticula in patients with EC.
- Effective treatment involves bladder drainage and antibiotics, addressing underlying causes like urinary retention.
- Understanding risk factors such as diabetes and neurogenic bladder is crucial for preventing EC recurrence.
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