title: Unusual gas pattern in emphysematous cystitis: a case report.
abstract: We present a case of emphysematous cystitis in a 43-year-old female. The gas pattern was unusual because there was only gas accumulation in the urinary bladder without bladder wall thickening or intramural gas formation. The differential diagnosis included postoperative states, enterovesical fistula, and iatrogenic instrumentation. The prognosis of emphysematous cystitis is good after early diagnosis and prompt treatment with appropriate antibiotics, blood glucose control, and adequate urinary drainage. The patient was discharged on hospital day 5 with one additional week of oral antibiotic therapy. She was quite well at the time of writing and her diabetes was controlled with an oral hypoglycemic agent.
authors.affiliation: Department of Urology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan.
authors.forename: Yung-Shun
authors.initials: YS
authors.lastname: Juan
authors.forename: Shu-Mien
authors.initials: SM
authors.lastname: Chuang
authors.forename: Jung-Tsung
authors.initials: JT
authors.lastname: Shen
authors.forename: Mei-Yu
authors.initials: MY
authors.lastname: Jang
authors.forename: Wen-Jeng
authors.initials: WJ
authors.lastname: Wu
authors.forename: Chii-Jye
authors.initials: CJ
authors.lastname: Wang
authors.forename: Chun-Hsiung
authors.initials: CH
authors.lastname: Huang
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003556:Cystitis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D004646:Emphysema / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D005260:Female; D006801:Humans; D011379:Prognosis; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000187:drug effects / Q000473:pathology*
chemical_list: D000900:Anti-Bacterial Agents