An Unusual Case Presentation of Emphysematous Cystitis

Emphysematous cystitis (EC) is a rare infection characterized by gas formation in the bladder wall. We present an unusual case of emphysematous cystitis of a 37-year-old female patient with pneumaturia, vomiting, nausea and abdominal pain. EC was diagnosed on a computed tomography (CT) scan which demonstrated abnormal bladder wall thickening that contained air. Urinalysis was positive for hematuria, bacteria and an elevated leukocyte esterase which further supported the diagnosis. This patient's atypical symptoms and lack of other risk factors that are commonly seen in patients with EC highlight the need for vigilance when assessing for EC.