IS case 506: Emphysematous cystitis

Aharon Wolf, MD

University of Rochester


Imaging Sciences URMC 2010
Publication Date: 2010-09-10

History

Patient is a 75-year-old-female seen in the emergency room with hematuria.

Findings

Distended bladder with air and fluid within and extensive air in the bladder wall.

Discussion

Emphysematous cystitis is a rare pathology caused by gas forming bacterial and fungal pathogens. Clinical symptoms are nonspecific and diagnostic clues often arise from the unanticipated imaging findings. The presentation may be atypical and patients may present with subtle clinical findings. A high index of suspicion, especially in susceptible patients with diabetes, is needed.

References

  1. Quint HJ, Drach GW, Rappaport WD, Hoffmann CJ. Emphysematous cystitis: a review of the spectrum of disease. J Urol. 1992 Jan;147(1):134-7. PMID: 1729506

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