Top

Journal of Medical Case Reports

Published in:

Open Access 01-12-2015 | Case report

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

Authors: Vincent De Coninck, Dirk Michielsen

Published in: Journal of Medical Case Reports | Issue 1/2015

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.

Mokabberi R, Ravakhah K. Emphysematous urinary tract infections: diagnosis, treatment and survival (case review series). Am J Med Sci. 2007;333(2):111–6.CrossRefPubMed

Amano M, Shimizu T. Emphysematous cystitis: a review of the literature. Intern Med. 2014;53(2):79–82.CrossRefPubMed

Thomas AA, Lane BR, Thomas AZ, Remer EM, Campbell SC, Shoskes DA. Emphysematous cystitis: a review of 135 cases. BJU Int. 2007;100(1):17–20.CrossRefPubMed

Grayson DE, Abbott RM, Levy AD, Sherman PM. Emphysematous infections of the abdomen and pelvis: a pictorial review. Radiographics. 2002;22(3):543–61.CrossRefPubMed

Bjurlin MA, Hurley SD, Kim DY, et al. Clinical outcomes of nonoperative management in emphysematous urinary tract infections. Urology. 2012;79(6):1281–5.CrossRefPubMed

Title: Emphysematous cystitis presenting as severe confusion and abdominal pain: two case reports
Authors: Vincent De Coninck
Dirk Michielsen
Publication date: 01-12-2015
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2015
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/s13256-015-0530-y

At a glance: The STEP trials

Springer Medicine

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

Abstract

Introduction

Case presentation

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Case presentation

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2015

Testicular metastasis as the first clinical manifestation of pancreatic adenocarcinoma: a case report

Chylous ascites and lymphangiectasia in focal segmental glomerulosclerosis – a rare coexistence: a case report

The management of abdominal hydatidosis after the rupture of a pancreatic hydatid cyst: a case report

Fetus papyraceus causing dystocia in a rural setting: a case report

Incarcerated Amyand hernia with simultaneous rupture of an adenocarcinoma in an inguinal hernia sac: a case report

Thanks to all those who reviewed for Journal of Medical Case Reports in 2014