Abstract
Emphysematous cystitis is a relatively rare and potentially life-threatening condition characterized by the collection of gas in the bladder wall and lumen due to infection caused by gas-forming organisms. Imaging studies are necessary to detect emphysematous cystitis. The management consists of broad-spectrum antibiotics, strict glycemic control, and bladder drainage. Complications may arise in some cases, requiring surgical treatment. We present a case of extended spectrum beta-lactamase producing Escherichia coli and Klebsiella pneumoniae emphysematous cystitis in a known diabetic.
Highlights
Emphysematous cystitis, known as cystitis emphysematosa, is a condition in which pockets of gas are formed within the bladder wall and lumen due to infection caused by gas-forming organisms (Escherichia coli, Klebsiella pneumoniae, Enterobacter aerogenes, Proteus mirabilis, Streptococcus species, or Clostridium perfringens) [1,2,3,4,5]
Successful management depends on early diagnosis with correction of any predisposing factor, effective glycemic control when required, prompt administration of appropriate antibiotics, adequate bladder drainage, and surgical excision of involved tissue when required [1,2,3]
The value of magnetic resonance imaging (MRI) seems limited because gas-forming infections can cause signal voids, which are difficult to interpret on MRI [5]
Summary
Emphysematous cystitis, known as cystitis emphysematosa, is a condition in which pockets of gas are formed within the bladder wall and lumen due to infection caused by gas-forming organisms (Escherichia coli, Klebsiella pneumoniae, Enterobacter aerogenes, Proteus mirabilis, Streptococcus species, or Clostridium perfringens) [1,2,3,4,5] It is commonly seen in elderly diabetic women [3, 5]. Diffuse bladder wall thickening with air seen circumferentially within the bladder wall (arrows) Based on his clinical presentation, microbiologic and radiologic findings, he was diagnosed with emphysematous cystitis, a rare complication of lower urinary tract infection. After completion of antibiotic therapy, a repeat CT of the abdomen and pelvis showed complete resolution of the bladder wall emphysematous changes
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
