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Emphysematous cystitis in a patient with acute pancreatitis, a rare occurrence

Emphysematous cystitis (EC) is a rare condition seen usually in patients with urosepsis associated with gas-forming, Gram-negative bacteria. If untreated, it is associated with a mortality rate of 7%. The diagnosis of EC is made generally by abdominal imaging. Management of EC is adequate urinary dr...

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Bibliographic Details
Published in:Current medicine research and practice 2013-01, Vol.3 (6), p.271-272
Main Authors: Abdus Samad, Abdul Munnan Durrani, Kamal Singh, Ghanendra Yadav, Sanjay Mittal, Manu Gupta, Sudhir Khanna
Format: Article
Language:English
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Summary:Emphysematous cystitis (EC) is a rare condition seen usually in patients with urosepsis associated with gas-forming, Gram-negative bacteria. If untreated, it is associated with a mortality rate of 7%. The diagnosis of EC is made generally by abdominal imaging. Management of EC is adequate urinary drainage, broad-spectrum antibiotic therapy and proper glycaemic control. Surgical intervention is indicated in severe EC. Immediate diagnosis and treatment is necessary because the disease may rapidly progress to cause bladder necrosis, emphysematous pyelonephritis, urosepsis and death. We report an atypical presentation of EC in a 75-year-old woman.
ISSN:2352-0817
2352-0825