The role of early diagnosis of emphysematous cystitis: A case report and literature review.

• 发表时间: May 2021
• 来源期刊: Urol Case Rep
• DOI: 10.1016/j.eucr.2021.101581
• PMID: 33643846
• 文章类型: Case Reports
• 作者列表: Kowalski F,Adamowicz J,Jozwicki J,Grzanka D,Drewa T

关键词: Bladder; CT, Computer tomography; Computer tomography (CT); EC, emphysematous cystitis; Emphysematous cystitis (EC); ICD, Intensive Care Unit; Infection; Inflammation; Salvage cystectomy; UTI, urinary tract infection; Urinary tract infection (UTI); VSD, Vascular Surgery Department

Abstract

Emphysematous cystitis (EC) is a rare entity caused by bacteria, which produce gas filled cysts in the bladder wall. We present a case of EC in a 72-year-old woman admitted to Vascular Surgery Department because of diabetic foot syndrome. During the hospital stay, the patient\'s general condition deteriorated. CT established EC diagnosis. Surgical treatment was inevitable. Salvage cystectomy was performed. Despite macroscopic removal of necrotic tissues, the condition of the patient didn\'t improve, 75 days past diagnosis of EC she died due to the multi-organ failure. Prompt diagnosis provided by imaging plays a key role in the treatment of EC.