title: Emphysematous cystitis complication in a patient undergoing hemodialysis.
abstract: Emphysematous cystitis is a rare condition characterized by air formation in and around the bladder wall by gas-forming organisms. Although diabetes mellitus and chronic urinary infection, which are frequently encountered in patients with endstage renal disease (ESRD), are predisposing factors for this entity, emphysematous cystitis is actually not common in ESRD patients. Here we provide the first report of a hemodialysis patient who developed typical emphysematous cystitis. Unlike other cases, the emphysematous cystitis recurred after discontinuation of urinary drainage and antibiotic therapy. The possible reason that this case is of a less common type that is more refractory than the other cases, and the method by which patients with ESRD are commonly treated, are discussed. Not anuric but rather oliguric diabetic patients, even after long-term hemodialysis, are the patients at risk for emphysematous cystitis.
authors: Department of Internal Medicine, Tokyu Hospital, Tokyo, Japan. tyokoo@jikei.ac.jp.|Department of Internal Medicine, The Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-ku, Tokyo, 105-8461, Japan. tyokoo@jikei.ac.jp.
authors: Takashi
authors: T
authors: Yokoo
authors: Department of Internal Medicine, Tokyu Hospital, Tokyo, Japan.
authors: Toshinari
authors: T
authors: Awai
authors: Department of Urology, Tokyu Hospital, Tokyo, Japan.|Department of Urology, The Jikei University School of Medicine, Tokyo, Japan.
authors: Haruki
authors: H
authors: Yamazaki
authors: Department of Radiology, Tokyu Hospital, Tokyo, Japan.
authors: Yasunori
authors: Y
authors: Fukuda
authors: Department of Internal Medicine, Tokyu Hospital, Tokyo, Japan.|Department of Internal Medicine, The Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
authors: Fumihiro
authors: F
authors: Hayashi
authors: Department of Internal Medicine, The Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.
authors: Tatsuo
authors: T
authors: Hosoya
mesh_terms: D000368:Aged; D003556:Cystitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D004646:Emphysema / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D011859:Radiography; D012008:Recurrence; D006435:Renal Dialysis; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000473:pathology