Unusual Gas Pattern in Emphysematous Cystitis: A Case Report

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• 作者：Yung-Shun Juan ; Jung-Tsung Shen ; Chii-Jye Wang
• 关键词：emphysematous cystitis ; diabetes mellitus
• 刊名：The Kaohsiung Journal of Medical Sciences
• 出版年：2005
• 出版时间：January 2005
• 年：2005
• 卷：21
• 期：1
• 页码：44-47
• 全文大小：259 K

文摘

We present a case of emphysematous cystitis in a 43-year-old female. The gas pattern was unusual because there was only gas accumulation in the urinary bladder without bladder wall thickening or intramural gas formation. The differential diagnosis included postoperative states, enterovesical fistula, and iatrogenic instrumentation. The prognosis of emphysematous cystitis is good after early diagnosis and prompt treatment with appropriate antibiotics, blood glucose control, and adequate urinary drainage. The patient was discharged on hospital day 5 with one additional week of oral antibiotic therapy. She was quite well at the time of writing and her diabetes was controlled with an oral hypoglycemic agent.