A Complex Case of Emphysematous Cystitis in a Peritoneal Dialysis Patient

Emphysematous cystitis (EC) is a relatively rare condition characterized by gas formation in the bladder wall and/or lumen. We report a case of emphysematous cystitis with a bladder perforation in an 84-year-old male on peritoneal dialysis who presented with fever, dysuria, hematuria, and hypotensio...

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Bibliographic Details
Published in:Case reports in nephrology 2021, Vol.2021, p.1-4
Main Authors: Okello, Christina, Raj, Rajesh
Format: Article
Language:English
Subjects:
Abdomen
Antibiotics
Arthritis
Bladder
Case Report
Case reports
Catheters
Diabetes
Disease prevention
E coli
Hematuria
Laboratories
Medical imaging
Nephrology
Patients
Peritoneal dialysis
Peritonitis
Surgical outcomes
Urinary tract diseases
Urinary tract infections
Urine
Urogenital system
Urology
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Summary:Emphysematous cystitis (EC) is a relatively rare condition characterized by gas formation in the bladder wall and/or lumen. We report a case of emphysematous cystitis with a bladder perforation in an 84-year-old male on peritoneal dialysis who presented with fever, dysuria, hematuria, and hypotension. Gas in the bladder wall, as well as a small perforation in the roof of the urinary bladder, was seen on the abdominal CT scan. The causative organism identified was Escherichia coli. The patient recovered with broad-spectrum antibiotics along with bladder irrigation and drainage. After initial bladder washouts, peritoneal dialysis was continued with close monitoring. Early antibiotic therapy and a conservative approach to the management of small intraperitoneal bladder perforations were effective in this patient. Peritoneal dialysis was uninterrupted for the duration of the admission and after discharge.
ISSN:2090-6641
2090-665X
DOI:10.1155/2021/8343022