title: Emphysematous cystitis with clinical subcutaneous emphysema.
abstract: Emphysematous cystitis (EC) is the presence of intramural gas, with or without luminal gas, within the bladder as a result of a primary infection of the lower urinary tract with a gas-producing organism. It is a well-recognised complication of urinary tract infections involving Escherichia coli in diabetic patients. Clinical subcutaneous emphysema is a rare complication of EC that appears to have poor prognosis. Only careful clinical judgement, and a high degree of suspicion, will lead to its early diagnosis and treatment. Here, we report a case of subcutaneous emphysema due to EC based on a clinical diagnosis confirmed using computed tomography (CT).
authors.affiliation: Care of the Elderly Medicine Department Mayday University Hospital, 530 London Road Croydon, CR8 2YL, UK. a.sadek@soton.ac.uk.
authors.forename: Ahmed-Ramadan
authors.initials: AR
authors.lastname: Sadek
authors.forename: Helen
authors.initials: H
authors.lastname: Blake
authors.forename: Anand
authors.initials: A
authors.lastname: Mehta