Emphysematouscystitis as a potential marker of severe Crohn's disease. Emphysematouscystitis (EC) is characterized by the presence of air within the bladder wall, often a complication of urinary tract infection (UTI) by gas-producing organisms. However, EC has also been reported in the setting of infectious colitis suggesting an alternate etiology. We report a rare case of EC in the setting
A Case of Concomitant EmphysematousCystitis and Clostridium difficile Colitis with Pneumoperitoneum Emphysematouscystitis (EC) is a rare condition described as air within the wall and lumen of the urinary bladder. It is a complicated form of urinary tract infection caused by gas-forming bacteria. Pneumoperitoneum described as gas in the peritoneum is usually seen with abdominal hollow organ
Simultaneous occurrence of hypermucoviscous Klebsiella pneumoniae emphysematous prostatic abscess, emphysematouscystitis, and renal abscess Emphysematous prostatic abscess is a rare clinical entity of uncomplicated urinary tract infections with high mortality rate. Here we report a case of hypermucoviscous causing emphysematous prostatic abscess, emphysematouscystitis, and renal abscess
The Presence of Venous Gas Does Not Affect the Prognosis in EmphysematousCystitis Objective Emphysematouscystitis (EC) has a high mortality rate compared with urinary tract infection without emphysema. However, its prognostic factors have yet to be determined. The presence of venous gas is suspected to be a rare, adverse prognostic factor of EC. However, all four previously reported cases
EmphysematousCystitis: Mortality, Risk Factors, and Pathogens of a Rare Disease Although high mortality rates have been reported for emphysematous pyelonephritis (EP), information on emphysematouscystitis (EC), which is less common, is sparse. Here, we report one new case of severe EC and 136 cases of EC that occurred between 2007 and 2016, and review information about the characteristics
Demonstrative Imaging of EmphysematousCystitis This case report presents an incidental finding of emphysematouscystitis on computed tomography (CT) scan done as part of evaluating abdominal pain in a 78 years old man with a history of metastatic thymus carcinoma.
Emphysematouscystitis and necrotizing fasciitis Emphysematouscystitis is an uncommon and often severe infectious condition of the bladder that usually affects women and diabetics. We report a case of a 62-year-old male patient who presented with concomitant emphysematouscystitis and necrotizing fasciitis of the right leg. The patient was initially managed with emergent disarticulation of the right leg. Tissue cultures were positive for Ciprofloxacin-resistant Klebsiella pneumoniae. He was treated with Piperacillin-Tazobactam; however, due to the failure of conservative management of the condition, the patient underwent a cystoprostatectomy with ileal conduit. To our knowledge, this is the first report of concomitant emphysematouscystitis and necrotizing fasciitis requiring aggressive
Emphysematouscystitis: An atypical multi-organism presentation An 84-year-old diabetic women receiving in-hospital stroke management began suffering from vague lower abdominal pain, increased urge incontinence and gross hematuria. Physical examination revealed suprapubic tenderness and a tympanic bladder. A computed tomography confirmed a distended bladder with gas foci delineating the bladder wall. Microbiology revealed an atypical multi-organism presentation of Klebsiella pneumoniae and Enterococcus species. Emphysematouscystitis is characterized by air within the bladder wall often found in elderly diabetic females. Predominant organisms include Escherichia coli and Klebsiella pneumonia. Prompt treatment is essential in this potentially fatal condition.
Computed tomography scan in supine and prone positions: an alternative method to detect intramural gas in emphysematouscystitis and to evaluate efficacy after adjuvant continuous intravesical irrigation treatment. To evaluate the efficacy of continuous intravesical irrigation with saline plus amikacin as adjuvant therapy and to evaluate the computed tomography (CT) scan in supine and prone positions (CystoCT scan) as an alternative diagnostic and evaluation method of intramural gas in emphysematouscystitis (EC) before and after treatment. Consecutive patients with a diagnosis of EC who were hospitalized between March 2006 and January 2011 were investigated. The diagnosis was made by CystoCT scan. Treatment consisted of intravenous antibiotics, control of concomitant diseases, and placement
Emphysematouscystitis: The role of CT imaging and appropriate treatment Emphysematouscystitis is a relatively rare disease characterized by the presence of gas in the bladder wall and/or lumen. The primary risk factor is diabetes mellitus. Emphysematouscystitis should be considered in cases of urinary tract infections in diabetic patients with unusual presentations. Imaging studies are necessary to detect emphysematouscystitis. Accurate diagnosis of the disease and appropriate treatment typically results in a favourable prognosis and can improve the outcome. We present a case of emphysematouscystitis diagnosed by a computed tomography scan in a diabetic woman with poor glycemic control.
Emphysematouscystitis: a tympanic bladder An 86-year-old woman with type 2 diabetes was admitted with increasing lethargy and hyperglycaemia. On examination she was noted to have a tender and tympanic bladder. CT revealed a distended bladder with gas locules in the bladder wall. She was diagnosed with hyperglycaemic hyperosmolar non-ketosis precipitated by emphysematouscystitis. After systemic antibiotics and bladder drainage via a urethral catheter, her symptoms readily improved. Radiographic appearances of the bladder were normal one week after instigating treatment. Emphysematouscystitis is characterized by gas within the bladder wall. Although rare it is increasingly more recognized with the advent of modern imaging. The mainstay of treatment is antibiotics and bladder drainage. Rarely
and Mucor species; malignant (or necrotizing) otitis externa caused by P. aeruginosa; pneumonia caused by S. aureus and gram-negative bacilli; tuberculosis, emphysematous cholecystitis, and urinary tract infections including emphysematouscystitis and pyelonephritis; polymicrobial necrotizing fasciitis involving the perineum (Fournier’s gangrene) and lower extremities; and psoas abscess, spinal epidural