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Pyocystis Causing Abdominal Wall Abscess and Necrotising Fasciitis
Simone Sim1, Theodora Stasinou1
1Department of Urology, Manchester Royal Infirmary, Manchester, GBR.
Cureus
|April 3, 2025
Summary
Pyocystis, a rare complication of defunctioned bladders, can lead to severe infections like necrotising fasciitis. Early suspicion and prompt treatment are crucial to prevent serious patient morbidity.
Area of Science:
- Urology
- Infectious Diseases
Background:
- Pyocystis is a known complication in patients with defunctioned bladders.
- Long-term bilateral nephrostomies can predispose patients to bladder complications.
Observation:
- A female patient with bilateral nephrostomies presented with symptoms initially attributed to cystitis.
- The condition progressed to pyocystis, resulting in a vesicocutaneous fistula and an anterior abdominal wall abscess.
Findings:
- The patient developed necrotising fasciitis, requiring emergency surgical intervention.
- Drainage yielded 400 ml of pus, revealing a defect in the anterior rectus sheath connecting to the bladder.
Implications:
- This case underscores the importance of suspecting pyocystis in patients with defunctioned bladders.
- Delayed diagnosis and treatment of pyocystis can lead to significant morbidity and complications such as necrotising fasciitis.
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