title: [A 61-year-old woman with abdominal pain and urination disorders].
abstract: The case of a 61 yo diabetic woman presenting with dysuria and lower abdominal pain is described. The incomplete resolution of the clinical picture after short antibiotic treatment and a strong suspect of autonomic neuropathy oriented to an anamnestic reevaluation that evidenced the presence of pneumaturia. The last was the key-symptom that guided to diagnostic imaging showing emphysematous cystitis while a gastroscopy confirmed the presence of autonomic neuropathy manifested by gastroparesis. Emphisematous cystitis is a characteristic infectious complication of diabetic patients induced by a persistent incomplete bladder emptying and bacterial glucose fermentation. The complete eradication of the infectious agent requires a long term antibiotic course and a prompt identification of this pathology.
authors.forename: A
authors.initials: A
authors.lastname: Picardi
authors.forename: S
authors.initials: S
authors.lastname: Manfrini
authors.forename: F
authors.initials: F
authors.lastname: Navajas
authors.forename: F
authors.initials: F
authors.lastname: De Iorio
authors.forename: E
authors.initials: E
authors.lastname: Amicarelli
authors.forename: S
authors.initials: S
authors.lastname: Spoto
authors.forename: M C
authors.initials: MC
authors.lastname: Meloni
authors.forename: L
authors.initials: L
authors.lastname: De Galasso
authors.forename: U
authors.initials: U
authors.lastname: Vespasiani Gentilucci
authors.forename: S
authors.initials: S
authors.lastname: Scarlata
authors.forename: S
authors.initials: S
authors.lastname: Costantino
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D003556:Cystitis / Q000175:diagnosis* / Q000209:etiology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000175:diagnosis*; D003928:Diabetic Nephropathies / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008875:Middle Aged; D014555:Urination Disorders / Q000209:etiology