Emphysematous cystitis and emphysematous pyelitis: a clinically misleading association.
We present a rare case of emphysematous cystitis associated with an emphysematous pyelonephritis in a diabetic Arab man who was admitted in a confusional state. A 60-year-old man was admitted to the emergency department with confusion and hypogastric mass. The Clinical examination found comatose patient with a mass in the tympanic hypogastric percussion. The pelvic computed tomography (CT) demonstrated intramural gas in the urinary tract, which suggested a diagnosis of emphysematous cystitis and emphysematous pyelitis. The treatment was based on an antibiotics associated with a bladder drainage and diabetes stabilization. The evolution was uneventful. Every diabetic patient with a urinary tract infection who seems to be severely ill should have an abdominal X-ray as a minimal screening tool to detect emphysematous complications. The rarity and the association with an emphysematous pyelitis, which is rarely reported in the literature, are two remarkable characteristics described in this case report.
Department of Urology, University Hospital Center Hassan II - FES, Morocco.
Mustapha
M
Ahsaini
Department of Urology, University Hospital Center Hassan II - FES, Morocco.
Amadou
A
Kassogue
Department of Urology, University Hospital Center Hassan II - FES, Morocco.
Mohammed Fadl
MF
Tazi
Department of Urology, University Hospital Center Hassan II - FES, Morocco.
Anas
A
Zaougui
Department of Urology, University Hospital Center Hassan II - FES, Morocco.
Jalal Edine
JE
Elammari
Department of Urology, University Hospital Center Hassan II - FES, Morocco.
Abdelhak
A
Khallouk
Department of Urology, University Hospital Center Hassan II - FES, Morocco.
Mohammed Jamal
MJ
El Fassi
Department of Urology, University Hospital Center Hassan II - FES, Morocco.
My Hassan
MH
Farih
D003556:Cystitis / Q000150:complications* / Q000175:diagnosis*; D048909:Diabetes Complications / Q000175:diagnosis; D003937:Diagnosis, Differential; D004646:Emphysema / Q000150:complications* / Q000175:diagnosis*; D004927:Escherichia coli Infections / Q000150:complications / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011704:Pyelonephritis / Q000150:complications* / Q000175:diagnosis*; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed; D014552:Urinary Tract Infections / Q000150:complications / Q000175:diagnosis
Diabetic; Emphysematous cystitis; bladder catherization; computed tomography; urinary tract infection