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Related Experiment Videos

[Emphysematous cystitis: a case report]

T Nakayama1, Y Tohyama, T Iizumi

  • 1Department of Urology, Teikyo University School of Medicine.

Hinyokika Kiyo. Acta Urologica Japonica
|May 1, 1996
PubMed
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Emphysematous cystitis, a rare bladder condition, involves gas production by bacteria. This case highlights successful antibiotic treatment for a patient with neurogenic bladder and emphysematous cystitis.

Area of Science:

  • Urology
  • Infectious Diseases

Background:

  • Emphysematous cystitis is a rare, serious bladder infection characterized by gas formation within the bladder wall and lumen.
  • It is often associated with underlying conditions such as diabetes mellitus and neurogenic bladder, complicating diagnosis and treatment.

Observation:

  • A 78-year-old male patient presented with dysuria and a lower abdominal mass.
  • Imaging revealed a large air-fluid level on plain X-ray and gas within the bladder wall and lumen on CT scan.
  • Urine cultures identified Klebsiella pneumoniae and Enterococcus faecalis as causative agents.

Findings:

  • The patient was diagnosed with emphysematous cystitis secondary to a neurogenic bladder.
  • Antibiotic therapy led to symptom improvement and radiographic resolution of intraluminal gas.

Related Experiment Videos

  • Review of 20 Japanese literature cases and the current case provides insights into 21 patients.

    • Implications:

    • This case underscores the importance of prompt diagnosis and appropriate antibiotic management for emphysematous cystitis.
    • Understanding the clinical characteristics of this rare condition aids in better patient outcomes.
    • Early intervention can prevent complications and facilitate recovery in patients with emphysematous cystitis.