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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

Revealing a micturition of 217mL with a maximum flow of 20.9mL/second.
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Fig6: Revealing a micturition of 217mL with a maximum flow of 20.9mL/second.

Mentions: After 10 days she recovered. Her bladder catheter was removed and antibiotics were stopped. A repeat urine culture was sterile and she was sent home with clean intermittent catheterization. Nitrofurantoin was prescribed in the prophylaxis of urinary tract infections. A follow-up consultation at 4 weeks was arranged for uroflowmetry control. This examination revealed bladder function recovery with no post-mictional residue, so clean intermittent catheterization was stopped (FigureĀ 6).Figure 6


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

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

Revealing a micturition of 217mL with a maximum flow of 20.9mL/second.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Fig6: Revealing a micturition of 217mL with a maximum flow of 20.9mL/second.
Mentions: After 10 days she recovered. Her bladder catheter was removed and antibiotics were stopped. A repeat urine culture was sterile and she was sent home with clean intermittent catheterization. Nitrofurantoin was prescribed in the prophylaxis of urinary tract infections. A follow-up consultation at 4 weeks was arranged for uroflowmetry control. This examination revealed bladder function recovery with no post-mictional residue, so clean intermittent catheterization was stopped (FigureĀ 6).Figure 6

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