Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

23 December 2011

Emphysematous Cystitis: An unusual lower urinary tract infection presenting as gross painless hematuria

Mehandar Kumar, Vanessa Mae Abrina

DOI: 10.12659/AJCR.882206

Am J Case Rep 2011; 12:195-197


Background: Emphysematous cystitis is a rare infection of the lower urinary tract characterized by gas pockets in the urinary bladder. E. coli is the most common causative organism, followed by Klebsiella and Enterobacter. It commonly occurs in old age patients with comorbidities, such as DM, bladder outlet obstruction, and immunosuppression. The symptoms include abdominal pain, dysuria, urgency, urinary frequency, hematuria, fever and rarely pneumaturia. It is usually diagnosed on CT abdomen and treated with IV antibiotics.
Case Report: This is a case of 69 years old Hispanic male with past medical history of uncontrolled diabetes mellitus, colorectal carcinoma s/p hemicolectomy and colostomy, recently diagnosed with brain and lung metastasis. The patient was admitted secondary to hematuria of one day duration without any fever, abdominal pain, dysuria, urgency or urinary frequency. Vital signs were stable and systemic examination was unremarkable. CT of the abdomen/pelvis showed gas pockets in bladder wall. He was treated with IV piperacillin/tazobactam.
Conclusions: The patient with emphysematous cystitis presents similar to one with simple UTI. A high index of suspicion is needed to diagnose this infection in an old patient with multiple comorbidities, as this is a very lethal condition if not recognized and treated early with IV antibiotics.

Keywords: emphysematous cystitis, Rare lower urinary tract infection, Hematuria

Add Comment 0 Comments

1070 15

In Press

07 Dec 2023 : Case report  Romania

A 65-Year-Old Man Presenting to the Emergency Department with Gastric Hemorrhage Caused by a Glomus Tumor

Am J Case Rep In Press; DOI:  

07 Dec 2023 : Case report  USA

Graves' Disease Exacerbation with Impending Thyroid Storm After SARS-CoV-2 Infection: A Case Report

Am J Case Rep In Press; DOI:  

05 Dec 2023 : Case report  Italy

Novel Mini-Invasive Surgical Technique for Treating Fifth Metacarpal Neck Fractures: A Case Report

Am J Case Rep In Press; DOI:  

01 Dec 2023 : Case report  Brazil

Life-Threatening Electrical Storm Following Liver Transplantation: A Case Report

Am J Case Rep In Press; DOI:  

Most Viewed Current Articles

06 Dec 2021 : Case report  Brazil

Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

DOI :10.12659/AJCR.934406

Am J Case Rep 2021; 22:e934406

07 Dec 2021 : Case report  USA

Edwardsiella tarda: A Classic Presentation of a Rare Fatal Infection, with Possible New Background Risk Fac...

DOI :10.12659/AJCR.934347

Am J Case Rep 2021; 22:e934347

19 Jul 2022 : Case report  Saudi Arabia

Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19

DOI :10.12659/AJCR.936128

Am J Case Rep 2022; 23:e936128

13 Jul 2022 : Case report  USA

Whistling Scrotum: An Unusual Presentation of Pneumomediastinum in the Setting of an Open Scrotal Wound

DOI :10.12659/AJCR.936441

Am J Case Rep 2022; 23:e936441

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923