Emphysematous cystitis with venous bubbles.
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.
Karashima
Eiji
E
Department of Cardiology, National Fukuoka Higashi Medical Center.
Ejima
Jun-Ichi
J
Nakamura
Hirofumi
H
Koike
Akihiro
A
Kaneko
Takeo
T
Ohmura
Ichiro
I
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
D000900:Anti-Bacterial Agents; D002437:Cefazolin