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Emphysematous cystitis

G Lee1, P S Choi, D S Woo

  • 1Department of Urology, College of Medicine, Dankook University, Cheonan, Choongnam, Korea.

Journal of Korean Medical Science
|June 4, 1998
PubMed
Summary

Emphysematous cystitis, a condition of gas in the bladder wall, was treated effectively in two women using antibiotics. Symptoms like dysuria and hematuria resolved quickly with this common treatment.

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Area of Science:

  • Urology
  • Radiology
  • Infectious Diseases

Background:

  • Emphysematous cystitis is a rare condition characterized by gas accumulation in the bladder wall and lumen.
  • It often presents with symptoms mimicking urinary tract infections, including dysuria, hematuria, and frequency.

Observation:

  • Two cases involving a 67-year-old and a 63-year-old woman with emphysematous cystitis are presented.
  • Clinical presentation included bladder irritation, pyuria on urinalysis, characteristic cystoscopic findings of vesicular mucosal changes, and pelvic CT showing intraluminal gas bubbles.

Findings:

  • Both patients were successfully treated with a course of antibiotics.
  • Symptomatic improvement was observed within four days of initiating antibiotic therapy.
  • Post-treatment abdominal films confirmed the resolution of gas shadows in the pelvic cavity.

Implications:

  • This case report highlights the efficacy of antibiotic treatment for emphysematous cystitis.
  • Prompt diagnosis and management can lead to rapid symptom resolution and prevent complications.
  • Emphasizes the importance of considering emphysematous cystitis in patients presenting with severe urinary symptoms and gas in the bladder on imaging.

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