EMPHYSEMATOUS CYSTITIS: A CASE REPORT

Abstract

Introduction: Emphysematous cystitis (EC) is an infectious cystitis characterized by gas formation in the urinary tract and usually caused by gas forming Escherichia coli or Klebsiella pneumoniae strains. The gas accumulates in. the bladder wall can be seen by computerized tomography (CT). Therefore, CT is used for accurate diagnosis. Case Report: A 69-year-olddiabetic man had lung aderocarcinoma presented by abdominal pair for a week. He had type 2 diabetes mellitus for two years and he received first chemotherapy cure approximately three weeks before. The patient was oriented, afebrile and normotensive. On physical examination: he has only suprapubic tenderness. Abdomino-pelvic CT was performed; and it showed that bladder wall was diffusely thickened, with the largest measurement of 18 mm. Accumulation of the air within the bladder was detected. The remit of urine culture revealed more than 20.000 colonies of Klebsiella pneumonia. The patient was diagnosed with emphysematous cystitis then he was hospitalized, and intravenous piperacillin/tazobactam treatment was initiated. Conclusion: it is very important to make a definite diagnosis in EC. EC should be kept in mind in diabetic patients with abdominal pain.