Open AccessUnusual Gas Pattern in Emphysematous Cystitis: A Case Report
Author(s) -
Juan YungShun,
Shen JungTsung,
Wang ChiiJye,
Chuang ShuMien,
Jang MeiYu,
Wu WenJeng,
Huang ChunHsiung
Publication year - 2005
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(09)70276-1
Subject(s) - medicine , urinary system , antibiotics , diabetes mellitus , differential diagnosis , surgery , fistula , antibiotic therapy , pathology , endocrinology , microbiology and biotechnology , biology
We present a case of emphysematous cystitis in a 43‐year‐old female. The gas pattern was unusual because there was only gas accumulation in the urinary bladder without bladder wall thickening or intramural gas formation. The differential diagnosis included postoperative states, enterovesical fistula, and iatrogenic instrumentation. The prognosis of emphysematous cystitis is good after early diagnosis and prompt treatment with appropriate antibiotics, blood glucose control, and adequate urinary drainage. The patient was discharged on hospital day 5 with one additional week of oral antibiotic therapy. She was quite well at the time of writing and her diabetes was controlled with an oral hypoglycemic agent.