Incidental Discovery of Emphysematous Cystitis with Rapid Resolution in a Patient Presenting with Acute Pancreatitis

A clinical diagnosis of acute pancreatitis was made. A computerized tomography of the abdomen and pelvis was consistent with a Grade A pancreatitis (Fig. 1). Incidentally, air was noted within the urinary bladder wall (Fig. 2). Of note, there was no recent urinary tract instrumentation. The diagnosis was emphysematous cystitis. The patient was treated with oral antibiotics with prompt clinical response. Three days later, a followup CT abdomen and pelvis showed significant resolution of the emphysema in urinary bladder (Fig. 3). No significant change was noted in appearance of the pancreas (Fig. 4). This case shows that a life-threatening urological condition could present with a nonurological complaint.