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Cistitis enfisemática con pseudoobstrucción intestinal en una mujer de 72 años: un informe de caso multidisciplinario
1Department of Urology, Janusz Korczak Provincial Specialist Hospital in Słupsk, Słupsk, POL.
Cureus
|August 21, 2025
Resumen
La cistitis enfisemática (CE), una infección rara de la vejiga, puede ocurrir en pacientes con comorbilidades. Este caso muestra que el diagnóstico rápido y el tratamiento conservador son clave para la recuperación, incluso con presentaciones inusuales.
Área de la Ciencia:
- Urología
- Enfermedades infecciosas
- Radiología
Sus antecedentes:
- La cistitis enfisemática (CE) es una infección grave del tracto urinario que involucra gases en la pared de la vejiga.
- Comúnmente afecta a personas con diabetes, inmunosupresión o edad avanzada.
Objetivo del estudio:
- Informar de un caso de cistitis enfisemática en un paciente con esclerosis sistémica e hipotiroidismo.
- Para resaltar la asociación con la pseudo-obstrucción intestinal.
- Hacer hincapié en la importancia del diagnóstico rápido y la atención multidisciplinaria.
Principales métodos:
- Informe de caso de una mujer de 72 años.
- Presentación clínica, diagnóstico por imágenes y enfoque de tratamiento.
- Manejo multidisciplinario que incluye urología, enfermedades infecciosas y medicina interna.
Principales resultados:
- El paciente desarrolló cistitis enfisemática durante la hospitalización.
- Los hallazgos radiológicos sugieren una pseudoobstrucción intestinal.
- El tratamiento conservador con cateterismo de vejiga y antibióticos intravenosos condujo a una mejoría clínica.
Conclusiones:
- La cistitis enfisemática puede presentarse de manera atípica en pacientes con antecedentes médicos complejos.
- La imagen temprana es crucial para el diagnóstico de EC y las complicaciones asociadas.
- La atención colaborativa y multidisciplinaria es esencial para manejar estos casos complejos.
Palabras clave:
Gas en las paredes de la vejigaCistitis enfisemaciosaEscherichia coli (E. coli) y sus derivadosSeudoobstrucción intestinalInfección del tracto urinarioMás Videos Relacionados
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