title: Emphysematous cystitis with venous bubbles.
abstract: An 86-year-old nondiabetic woman with an episode of transient ischemic attack two days earlier was referred to our hospital. She had a history of neurogenic bladder and chronic atrial fibrillation and had been anuric for two days. Bubbles were detected by echocardiography in the right atrium, right ventricle, and inferior vena cava. Computed tomography revealed gas accumulation in the wall and lumen of the bladder. She recovered after urinary drainage and antibiotic therapy, and bubbles were no longer detected. It was suspected that bacterial injury of the bladder wall and high intravesical pressure led gas to enter the venous system.
authors: Department of Cardiology, National Fukuoka Higashi Medical Center.
authors: Eiji
authors: E
authors: Karashima
authors: Jun-Ichi
authors: J
authors: Ejima
authors: Hirofumi
authors: H
authors: Nakamura
authors: Akihiro
authors: A
authors: Koike
authors: Takeo
authors: T
authors: Kaneko
authors: Ichiro
authors: I
authors: Ohmura
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002437:Cefazolin / Q000627:therapeutic use; D003556:Cystitis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004618:Embolism, Air / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004646:Emphysema / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D004926:Escherichia coli / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000150:complications / Q000175:diagnosis / Q000382:microbiology; D005260:Female; D005500:Follow-Up Studies; D006325:Heart Atria / Q000000981:diagnostic imaging; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D014057:Tomography, X-Ray Computed; D014546:Urinary Catheterization
chemical_list: D000900:Anti-Bacterial Agents; D002437:Cefazolin