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Emphysematous cystitis presenting as severe confusion and abdominal pain: two case reports.

De Coninck V, Michielsen D - J Med Case Rep (2015)

Bottom Line: They presented with severe confusion and abdominal distension.The patients were successfully treated with antibiotic therapy and bladder drainage.This rare disorder should be recognized in time and treated properly to guarantee survival.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, University Hospital (UZ), Laarbeeklaan 101, 1090, Brussels, Belgium. vincent.deconinck@uzbrussel.be.

ABSTRACT

Introduction: Emphysematous cystitis is a very rare complicated urinary tract infection characterized by air in the bladder wall.

Case presentation: We report two clinical cases of emphysematous cystitis of an 83-year-old Caucasian woman with diabetes mellitus and a 78-year-old Caucasian man with no past medical history. They presented with severe confusion and abdominal distension. Emphysematous cystitis was diagnosed in time with a thorough physical examination, urine analysis and computed tomography. The patients were successfully treated with antibiotic therapy and bladder drainage.

Conclusion: This rare disorder should be recognized in time and treated properly to guarantee survival.

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Ultrasound of the bladder demonstrating irregular thickening of the bladder wall with extensive intramural echogenic foci.
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Fig1: Ultrasound of the bladder demonstrating irregular thickening of the bladder wall with extensive intramural echogenic foci.

Mentions: Because of the abdominal findings, an abdominal ultrasonography was performed. This showed irregular thickening of her bladder wall with extensive intramural echogenic foci (FigureĀ 1).Figure 1


Emphysematous cystitis presenting as severe confusion and abdominal pain: two case reports.

De Coninck V, Michielsen D - J Med Case Rep (2015)

Ultrasound of the bladder demonstrating irregular thickening of the bladder wall with extensive intramural echogenic foci.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4362838&req=5

Fig1: Ultrasound of the bladder demonstrating irregular thickening of the bladder wall with extensive intramural echogenic foci.
Mentions: Because of the abdominal findings, an abdominal ultrasonography was performed. This showed irregular thickening of her bladder wall with extensive intramural echogenic foci (FigureĀ 1).Figure 1

Bottom Line: They presented with severe confusion and abdominal distension.The patients were successfully treated with antibiotic therapy and bladder drainage.This rare disorder should be recognized in time and treated properly to guarantee survival.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, University Hospital (UZ), Laarbeeklaan 101, 1090, Brussels, Belgium. vincent.deconinck@uzbrussel.be.

ABSTRACT

Introduction: Emphysematous cystitis is a very rare complicated urinary tract infection characterized by air in the bladder wall.

Case presentation: We report two clinical cases of emphysematous cystitis of an 83-year-old Caucasian woman with diabetes mellitus and a 78-year-old Caucasian man with no past medical history. They presented with severe confusion and abdominal distension. Emphysematous cystitis was diagnosed in time with a thorough physical examination, urine analysis and computed tomography. The patients were successfully treated with antibiotic therapy and bladder drainage.

Conclusion: This rare disorder should be recognized in time and treated properly to guarantee survival.

Show MeSH
Related in: MedlinePlus