title: Enterococcus faecium related emphysematous cystitis and bladder rupture.
abstract: We describe a 32-year-old lady who was admitted with a urinary tract infection following vacuum-assisted delivery. She was diagnosed with Enterococcus faecium related emphysematous cystitis, bladder gangrene and rupture necessitating emergency laparotomy and partial cystectomy. She had a repeat laparotomy nine days later due to continuing bladder necrosis on cystoscopy. The patient stayed in hospital for over two months due to complications including hospital acquired Klebsiella pneumonia, adult respiratory distress syndrome and malnutrition. Discharge occurred one week after an ileal conduit and ileostomy were performed.
authors.affiliation: Indira Gandhi Medical College, Pondicherry.
authors.forename: Stalin
authors.initials: S
authors.lastname: Viswanathan
authors.forename: Rangarajan Pakshi
authors.initials: RP
authors.lastname: Rajan
authors.forename: Nayyar
authors.initials: N
authors.lastname: Iqbal
authors.forename: Jayaprakash
authors.initials: J
authors.lastname: Subramani
authors.forename: Vivekanandan
authors.initials: V
authors.lastname: Muthu
keywords: Emphysematous cystitis; bladder rupture; gangrenous cystitis