Abstract
Introduction: Emphysematous cystitis (EC) is an infectious cystitis characterized by gas formation in the urinary
tract and usually caused by gas forming Escherichia coli or Klebsiella pneumoniae strains.
The gas accumulates in the bladder wall can be seen by computerized
tomography (CT). Therefore, CT is used for
accurate diagnosis.
Case Report: A 69-year-olddiabetic man had
lung adenocarcinoma presented by abdominal pain
for a week. He had type 2 diabetes mellitus for two years and he received first
chemotherapy cure approximately three weeks before. The patient was oriented,
afebrile and normotensive. On physical examination, he has only suprapubic
tenderness. Abdomino-pelvic CT was performed, and it showed that bladder wall was diffusely
thickened, with the largest measurement of 18 mm. Accumulation of the air within the
bladder wall was detected. The result of urine culture revealed more than 20.000
colonies of Klebsiella pneumonia. The
patient was diagnosed with emphysematous cystitis then
he was hospitalized, and
intravenous piperacillin/tazobactam treatment was initiated.
Conclusion: It is very important to make a definite diagnosis in
EC. EC should be kept in mind in diabetic patients with
abdominal pain.
References
- 1. Gheonea IA, Stoica Z, Bondari S. Emphysematous cystitis: case report and imaging features. Curr Health Sci J. 2012; 38: 191–4.
- 2. Tzou K, Chiang Y. Emphysematous Cystitis. N Engl J Med. 2016; 375(18): 1779.
- 3. Taşdemir C, Çimen S, Kahraman B, Sağır Kahraman A, Özaydoğdu Çimen A, Turunçet A, et al. A rare cause of acute abdominal pain and gross hematuria: Emphysematous cystitis. The New Journal of Urology. 2016; 11(1): 38-40.
- 4. Ergün T, Eldem HO, Lakadamyalı H. A rare cause of acute lower abdominal pain: Emphysematous cystitis. Turk J Urol. 2014; 40: 65– 7.
- 5. Tagci S, Ozden C, Gokkaya CS, Aktas BK, Bulut S. Emphysematous cystitis: a case report. J Clin Anal Med. 2016; 7(1): 138-40.
- 6. Zeytin AT, Tok S, Kadıoğlu E, Kulan MS. Emphysematous cystitis: A rare cause of abdominal pain. CausaPedia. 2013; 2: 652-5.
- 7. Affes N, Bahloul A, Dammek Y, Kallel H, Mzali R, Beyrouti MI. A diabetic patient in septic shock. Emphysematous cystitis. CJEM. 2010; 12: 527-40.
- 8. Thomas AA, Lane BR, Thomas AZ, Remer EM, Campbell SC, Shoskes DA. Emphysematous cystitis: a review of 135 cases. DABJU Int. 2007; 100: 17-20.
- 9. Toyota N, Ogawa D, Ishii K, Hirata K, Wada J, Shikata K, et al. Emphysematous cystitis in a patient with type 2 diabetes mellitus. Acta Med Okayama. 2011; 65: 129-33.
- 10. Tagowski M, Kamusella P, Andresen R. A rare cause of abdominal pain: emphysematous cystitis. Rofo. 2013; 184: 998-9.
- 11. Amano M, Shimizu T. Emphysematous cystitis: a review of the literature. Intern Med. 2014; 53: 79-82.
- 12. Grupper M, Kravtsov A, Potasman I. Emphysematous cystitis: illustrative case report and review of the literature. Medicine (Baltimore). 2007; 861: 47-53.
Abstract
References
- 1. Gheonea IA, Stoica Z, Bondari S. Emphysematous cystitis: case report and imaging features. Curr Health Sci J. 2012; 38: 191–4.
- 2. Tzou K, Chiang Y. Emphysematous Cystitis. N Engl J Med. 2016; 375(18): 1779.
- 3. Taşdemir C, Çimen S, Kahraman B, Sağır Kahraman A, Özaydoğdu Çimen A, Turunçet A, et al. A rare cause of acute abdominal pain and gross hematuria: Emphysematous cystitis. The New Journal of Urology. 2016; 11(1): 38-40.
- 4. Ergün T, Eldem HO, Lakadamyalı H. A rare cause of acute lower abdominal pain: Emphysematous cystitis. Turk J Urol. 2014; 40: 65– 7.
- 5. Tagci S, Ozden C, Gokkaya CS, Aktas BK, Bulut S. Emphysematous cystitis: a case report. J Clin Anal Med. 2016; 7(1): 138-40.
- 6. Zeytin AT, Tok S, Kadıoğlu E, Kulan MS. Emphysematous cystitis: A rare cause of abdominal pain. CausaPedia. 2013; 2: 652-5.
- 7. Affes N, Bahloul A, Dammek Y, Kallel H, Mzali R, Beyrouti MI. A diabetic patient in septic shock. Emphysematous cystitis. CJEM. 2010; 12: 527-40.
- 8. Thomas AA, Lane BR, Thomas AZ, Remer EM, Campbell SC, Shoskes DA. Emphysematous cystitis: a review of 135 cases. DABJU Int. 2007; 100: 17-20.
- 9. Toyota N, Ogawa D, Ishii K, Hirata K, Wada J, Shikata K, et al. Emphysematous cystitis in a patient with type 2 diabetes mellitus. Acta Med Okayama. 2011; 65: 129-33.
- 10. Tagowski M, Kamusella P, Andresen R. A rare cause of abdominal pain: emphysematous cystitis. Rofo. 2013; 184: 998-9.
- 11. Amano M, Shimizu T. Emphysematous cystitis: a review of the literature. Intern Med. 2014; 53: 79-82.
- 12. Grupper M, Kravtsov A, Potasman I. Emphysematous cystitis: illustrative case report and review of the literature. Medicine (Baltimore). 2007; 861: 47-53.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | April 1, 2019 |
| Submission Date | July 4, 2018 |
| Published in Issue | Year 2019 Volume: 10 Issue: 2 |