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Emphysematous Cystitis Found Incidentally in a Patient Undergoing Hip Arthroplasty: A Case Report
Sang-Rim Kim1, Dimitris Dimitriou2, Uk Nam3
1Department of Orthopaedic Surgery, Jeju National University School of Medicine, Ara 1dong, 102 Jejudaehakno, Jeju-si, Jeju, 690-756, South Korea. kimsros@jejunu.ac.kr. kangu70@snu.ac.kr.
Case:
Emphysematous cystitis is a rare, complicated urinary tract infection that is potentially life-threatening if left untreated. We present the case of an eighty-one-year-old woman with left hip pain from a low-energy fall with no associated urinary symptoms. Pelvic computed tomography revealed a left femoral neck fracture and an air-fluid level in the bladder. Bipolar hemiarthroplasty was delayed for three weeks to allow for the potentially serious urinary tract infection to resolve.
Conclusion:
Increased awareness is required for early diagnosis and treatment of asymptomatic emphysematous cystitis in a patient presenting with musculoskeletal symptoms.
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