Emphysematous cystitis in a patient with acute pancreatitis, a rare occurrence

Emphysematous cystitis (EC) is a rare condition seen usually in patients with urosepsis associated with gas-forming, Gram-negative bacteria. If untreated, it is associated with a mortality rate of 7%. The diagnosis of EC is made generally by abdominal imaging. Management of EC is adequate urinary dr...

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Published inCurrent medicine research and practice Vol. 3; no. 6; pp. 271 - 272
Main Authors Abdus Samad, Abdul Munnan Durrani, Kamal Singh, Ghanendra Yadav, Sanjay Mittal, Manu Gupta, Sudhir Khanna
Format Journal Article
LanguageEnglish
Published Wolters Kluwer Medknow Publications 01.01.2013
Subjects
acute pancreatitis
diabetes mellitus
emphysematous cystitis
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Summary:Emphysematous cystitis (EC) is a rare condition seen usually in patients with urosepsis associated with gas-forming, Gram-negative bacteria. If untreated, it is associated with a mortality rate of 7%. The diagnosis of EC is made generally by abdominal imaging. Management of EC is adequate urinary drainage, broad-spectrum antibiotic therapy and proper glycaemic control. Surgical intervention is indicated in severe EC. Immediate diagnosis and treatment is necessary because the disease may rapidly progress to cause bladder necrosis, emphysematous pyelonephritis, urosepsis and death. We report an atypical presentation of EC in a 75-year-old woman.
ISSN:2352-0817
2352-0825