DOI: http://dx.doi.org/10.18203/2349-2902.isj20214388

Emphysematous cystitis with rare findings of subcutaneous emphysema and extraperitoneal pelvic gas: a case report

Milan C. Gunawardene, Madura C. Ambegoda, Munipriya A. Willaraarachchi, Anuruddha M. Abeygunasekera

Abstract


Emphysematous cystitis is a rare form of lower urinary tract infection with pathognomonic intramural and intraluminal gas. It commonly occurs in elderly females with uncontrolled diabetes mellitus. Subcutaneous emphysema and extraperitoneal pelvic gas are reported as rare presentations of emphysematous cystitis. Here we report emphysematous cystitis occurring in an elderly male with multiple co-morbidities who presented with fulminant sepsis and rare findings of subcutaneous emphysema and extraperitoneal pelvic gas.

 


Keywords


Emphysematous cystitis, Subcutaneous emphysema, Extraperitoneal pelvic gas, Case report

Full Text:

PDF

References


Liao PH, Hsieh MS, Chen YC. Emphysematous cystitis. CMAJ. 2020;192:313.

Amano M, Shimizu T. Emphysematous Cystitis: A Review of the Literature. Intern Med. 2014;53:79-82.

Dias D da S, Jorge C, Perez MP. Emphysematous cystitis: delay in diagnosis and treatment complications. Int Emerg Med. 2021;16:779-80.

Rajaian S, Murugavaithianathan P, Krishnamurthy K. Emphysematous cystitis: diagnosed only if suspected. BMJ Case Rep. 2019;12:230715.

Mukendi AM. Emphysematous cystitis: A case report and literature review. Clin Case Rep. 2020;1:1-3.

Ho MP, Chou AH, Wu YH, Tsai KC. Emphysematous cystitis in an elderly diabetic patient. Geriatr Gerontol Int. 2017;17:1027-39.

Wojack PR, Goldman IA. Emphysematous cystitis with extraperitoneal gas: new insights into pathogenesis via novel CT findings. Clin Imaging. 2020;65:1-4.

Ash A, Modayil V, Lu A. Emphysematous cystitis. J Emerg Med. 2015;49(4):129-30.

Grupper M, Krartosv A, Potasman I. Emphysematous cystitis: illustrative case report and review of the literature. Medicine (Boltimore). 2007;86(1):47-53.

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.