Urology Case Reports (Sep 2023)

Emphysematous cystitis: A rare and life-threatening condition in patients with uncontrolled diabetes mellitus

  • Salim Lachkar,
  • Chadi Bourimi,
  • Ahmed Ibrahimi,
  • Imad Boualaoui,
  • Hachem El Sayegh,
  • Yassine Nouini

Journal volume & issue
Vol. 50
p. 102544

Abstract

Read online

Emphysematous cystitis is a rare and potentially life-threatening condition characterized by gas formation within the bladder due to bacterial infection. This article presents a case study of emphysematous cystitis in a 74-year-old male patient with uncontrolled diabetes mellitus and recurrent urinary tract infections. The patient had lower abdominal pain, signs of infection, and urinary symptoms. Imaging revealed bladder wall thickening and gas bubbles. Prompt diagnosis and broad-spectrum antimicrobial therapy were initiated, with intensive care monitoring. After a 14-day treatment, significant improvement occurred, leading to the patient's discharge after 20 days. This case emphasizes early recognition and aggressive management for optimal outcomes.

Keywords