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Case Reports
. 2021 Jul-Sep;13(3):312-315.
doi: 10.4103/UA.UA_61_20. Epub 2021 Jun 23.

Emphysematous cystitis: A case report and literature review of 113 cases

Satish Kumar Ranjan  1 , Shiv Charan Navriya  1 , Sunil Kumar  1 , Ankur Mittal  1 , Deepak Prakash Bhirud  1
Affiliations
Case Reports

Emphysematous cystitis: A case report and literature review of 113 cases

Satish Kumar Ranjan et al. Urol Ann. 2021 Jul-Sep.

Abstract

Emphysematous cystitis (EC) is a rare complicated urinary tract infection characterized by gas formation within the wall of the urinary bladder. Although EC has multifactorial etiology, commonly seen in elderly, diabetic and female sex; most of the cases of EC present along with emphysematous pyelonephritis (EPN) and full-blown urosepsis. We present a case of EC with EPN presented with features of sepsis managed conservatively. Furthermore, we reviewed the literature of published cases reports of EC with or without EPN from 1999 to 2019 (20 Years). From eligible 113 case reports, data of clinical presentation, demographic profile, risk factors, diagnostic methods, treatment, and prognosis were analyzed.

Keywords: Emphysematous cystitis; emphysematous pyelonephritis; literature review; urosepsis.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Computed tomography scan (a) axial section showing left emphysematous pyelonephritis with air foci in the left renal parenchyma and pelvicalyceal system (b) coronal section showing air in bladder wall (red arrow) (c) full bladder and (d) empty bladder axial section of computed tomography scan showing classical “beaded necklace” appearance of air in the wall of urinary bladder
Figure 2
Figure 2
Cystoscopy (a) multiple submucosal air filled vesicles (red arrows). (b) Vesicles (red arrow) with coil of the left DJ stent (yellow arrow)
See this image and copyright information in PMC

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