title: Emphysematous cystitis-gas in bladder: a rare urological emergency.
abstract: Emphysematous cystitis is an unusual inflammatory condition characterised by the presence of air within the bladder wall and lumen. It is usually seen in patients with diabetes, and in those with long-term catheterisation or of immunocompromised status. Its presentation varies from asymptomatic to frank urosepsis. It is diagnosed after radiological studies. Treatment requires establishment of prompt urinary drainage, antibiotic coverage and correction of offending factors, if any. We report a case of 41-year-old, non-diabetic, otherwise healthy woman presenting with lower urinary tract symptoms with pneumaturia, which was managed conservatively. A review of the recent literature is also presented.
authors.affiliation: Department of Urology, R G Kar Medical College, Kolkata, West Bengal, India.
authors.forename: Rakesh
authors.initials: R
authors.lastname: Sharma
authors.affiliation: R G Kar Medical College, Kolkata, West Bengal, India.
authors.forename: Subrata K
authors.initials: SK
authors.lastname: Mitra
authors.affiliation: Department of Urology, R G Kar Medical College, Kolkata, West Bengal, India.
authors.forename: Arpan
authors.initials: A
authors.lastname: Choudhary
authors.affiliation: R G Kar Medical College, Kolkata, West Bengal, India.
authors.forename: Prasenjit
authors.initials: P
authors.lastname: Majee
mesh_terms: D000005:Abdomen / Q000000981:diagnostic imaging; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003556:Cystitis / Q000175:diagnosis* / Q000628:therapy; D004646:Emphysema / Q000382:microbiology / Q000652:urine*; D004926:Escherichia coli / Q000472:pathogenicity*; D005260:Female; D005740:Gases; D006801:Humans; D011860:Radiography, Abdominal; D016896:Treatment Outcome; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging; D014552:Urinary Tract Infections / Q000382:microbiology* / Q000628:therapy / Q000652:urine
chemical_list: D000900:Anti-Bacterial Agents; D005740:Gases