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Case Reports
. 2023 Mar 16;15(3):e36233.
doi: 10.7759/cureus.36233. eCollection 2023 Mar.

Gangrenous Cystitis: A Rare Case Report

Christos N Noulas  1 , Markos Markou  1 , Rodopi Sotiropoulou  1 , Dimitrios E Diamantidis  1 , Michail Karanikas  1
Affiliations
Case Reports

Gangrenous Cystitis: A Rare Case Report

Christos N Noulas et al. Cureus. .

Abstract

Gangrenous cystitis is a rare condition of the urinary bladder with bladder wall ischemia as the main etiopathogenic factor and constitutes a surgical emergency. The risk factors for this condition include diabetes mellitus, prolonged labor, and topical chemotherapy, and the condition must be immediately treated because of its high mortality rate. This report describes a rare case of a patient with gangrenous cystitis who underwent radical surgical treatment; the incidence, etiology, diagnosis, management, and outcomes are also discussed.

Keywords: bladder; emergency; gangrenous cystitis; ischemia; laparotomy; urine retention.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. CT examination of the abdomen revealed free air in the abdominal wall (white arrows).
CT: computed tomography.
Figure 2
Figure 2. CT examination of the abdomen revealed free air in the peritoneal cavity (white arrows) and the right psoas muscle (white star).
CT: computed tomography.
Figure 3
Figure 3. CT examination of the abdomen revealed fat stranding and free air around the bladder (white arrows).
CT: computed tomography.
Figure 4
Figure 4. During laparotomy, extended peritoneal necrosis was observed.
Figure 5
Figure 5. During laparotomy, abdominal wall necrosis was observed.
Figure 6
Figure 6. During laparotomy, urinary bladder necrosis was observed.
See this image and copyright information in PMC

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