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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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Related in: MedlinePlus

Uroflowmetry revealing a micturition of 44mL with a maximum flow of 4.5mL/second.
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Fig4: Uroflowmetry revealing a micturition of 44mL with a maximum flow of 4.5mL/second.

Mentions: To exclude outlet obstruction, a uroflowmetry was done. This examination revealed a micturition of 44mL with a maximum flow of 4.5mL/second. The contribution of this examination was limited because of the low micturition volume. Post-mictional residue was 250mL (FigureĀ 4).Figure 4


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

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

Uroflowmetry revealing a micturition of 44mL with a maximum flow of 4.5mL/second.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Fig4: Uroflowmetry revealing a micturition of 44mL with a maximum flow of 4.5mL/second.
Mentions: To exclude outlet obstruction, a uroflowmetry was done. This examination revealed a micturition of 44mL with a maximum flow of 4.5mL/second. The contribution of this examination was limited because of the low micturition volume. Post-mictional residue was 250mL (FigureĀ 4).Figure 4

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