title: Emphysematous cystitis: an unreported complication after pancreaticoduodenectomy.
abstract: Pancreaticoduodenectomy was associated with an increased morbidity, and septic complications are the primary cause of death in these patients. However, severe sepsis, caused by a postoperative urinary tract infection, is uncommon. It is presented the case of a 72 years old man, with a pylorus-preserving pancreaticoduodenectomy for an ampullary adenocarcinoma. Postoperatively, the patient developed a chyle leak, and a severe urinary tract infection (i.e., emphysematous cystitis), with septic shock. The diagnosis, management and outcome are discussed. In conclusion, emphysematous cystitis is a potentially life-threatening complication, which may occur due to the postoperative immunodepression after pancreaticoduodenectomy.
authors.forename: T
authors.initials: T
authors.lastname: Dumitrascu
authors.forename: Emi
authors.initials: E
authors.lastname: Preda
authors.forename: M
authors.initials: M
authors.lastname: Ionescu
mesh_terms: D000368:Aged; D002177:Candidiasis / Q000150:complications* / Q000209:etiology; D002913:Chyle; D003556:Cystitis / Q000175:diagnosis / Q000382:microbiology*; D004646:Emphysema / Q000175:diagnosis / Q000382:microbiology*; D017809:Fatal Outcome; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D012772:Shock, Septic / Q000209:etiology*