Emphysematous Cystitis with Venous Bubbles

Karashima, Eiji; Ejima, Junichi; Nakamura, Hirofumi; Koike, Atsushi; Kaneko, Takeo; Ohmura, Ichiro

doi:10.2169/internalmedicine.44.590

Cited by 16 publications

(10 citation statements)

References 19 publications

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“…In previous reports of EC with venous gas, due to suspected air embolism, one patient underwent a lung perfusion scan (7), whereas another underwent hyperbaric oxygen therapy as a preventative measure (6). Of the 15 cases in the present study, there were no cases of air embolism related to venous gas.…”

Section: Discussionmentioning

confidence: 99%

The Presence of Venous Gas Does Not Affect the Prognosis in Emphysematous Cystitis

et al. 2017

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Objective Emphysematous cystitis (EC) has a high mortality rate compared with urinary tract infection without emphysema. However, its prognostic factors have yet to be determined. The presence of venous gas is suspected to be a rare, adverse prognostic factor of EC. However, all four previously reported cases improved. We hypothesized that venous gas is not an adverse prognostic factor of EC and aimed to assess the effect of venous gas on the EC prognosis. Methods Medical records were reviewed retrospectively. Patients The patients diagnosed with EC at Yodogawa Christian Hospital between April 2004 and September 2014 were included. Results Venous gas was present in 15 of 23 patients with EC. There was no significant difference in the background or clinical presentation between patients with or without venous gas. All patients with venous gas survived without invasive measures, whereas 50% of patients without venous gas died. Conclusion There was no marked difference in the mortality rate due to EC between the patients with and without venous gas. Venous gas may be a more common and less worrying finding in EC than assumed. It does not reflect the severity of infection, and air embolisms have not been reported so far. Venous gas may not affect the prognosis. This may be due to the differences in the mechanism of venous gas production. Gas in EC may develop due to glucose fermentation and intravesical pressurization, in contrast to the necrotizing infection seen in other emphysematous infections. This is the first study to assess the effect of venous gas on EC prognosis.

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Section: Discussionmentioning

confidence: 99%

The Presence of Venous Gas Does Not Affect the Prognosis in Emphysematous Cystitis

et al. 2017

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“…Bacterial fermentation of glucose or albumin creates carbon dioxide gas bubbles, which collect in the submucosa or lumen of the bladder [9]. The risk factors of this disease include (i) advanced age, (ii) female gender, (iii) DM, (iv) neurogenic bladder, (v) urethral catheter placement, (vi) a vesicorectal fistula, (vii) end-stage renal disease, and (viii) outlet obstruction [10]. In the present case, the laboratory tests revealed that HbA1c was 7.3% with a serum glucose level of 525 mg/dL at the first visit.…”

Section: Discussionmentioning

confidence: 99%

A case of emphysematous cystitis complicated with miliary tuberculosis

Soga

Imanishi²

2012

Am J Case Rep

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SummaryBackground:Emphysematous cystitis occurs mostly in diabetics with poor glycemic control or in immunocompromised patients. In most cases, diabetes mellitus correlates with the occurrence of emphysematous cystitis. The risk of relapse after tuberculosis cure or treatment completion is high among patients with diabetes mellitus.Case Report:A 64-year-old diabetic man suffering from high fever and lower abdominal pain was admitted to the emergency ward. Due to the results of radiographic examinations, he was diagnosed with an emphysematous cystitis. Although the emphysematous cystitis improved with urinary drainage and antibiotic therapy, the high fever recurred and respiratory symptoms appeared. This patient was diagnosed with a crisis of the pulmonary tuberculosis. He was started on the antituberculosis therapy, and he recovered.Conclusions:This is the first report of a case of emphysematous cystitis that was complicated with pulmonary tuberculosis.

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“…Bacterial fermentation of glucose causes the formation of carbon dioxide gas bubbles (6,7). The risk factors of the disease include (i) advanced age, particularly for woman, (ii) diabetes mellitus, (iii) neurogenic bladder, (iv) urethral catheter placement, (v) vesicorectal fistula, (vi) end-stage renal disease, and (vii) outlet obstruction (8). The present case indicated three of these factors (advanced age, diabetes mellitus, and neurogenic bladder).…”

Section: Discussionmentioning

confidence: 99%

Emphysematous Cystitis with Diabetic Neurogenic Bladder

et al. 2010

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A 62-year-old diabetic woman suffering from high fever was admitted to our hospital. She had a lower abdominal phantom tumor and hyperglycemia. The results of urine analysis showed hematuria and bacteriuria. X-ray and computed tomography revealed gas accumulation in the wall of the bladder. Escherichia coli was identified in urine culture. On the basis of the lack of urine output and the identification of residual urine on catheterization, a diagnosis of emphysematous cystitis with diabetic neurogenic bladder was established. The patient recovered after discontinuation of urinary drainage, intensive insulin therapy, and antibiotic therapy.

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Emphysematous Cystitis with Venous Bubbles

Cited by 16 publications

References 19 publications

The Presence of Venous Gas Does Not Affect the Prognosis in Emphysematous Cystitis

The Presence of Venous Gas Does Not Affect the Prognosis in Emphysematous Cystitis

A case of emphysematous cystitis complicated with miliary tuberculosis

Emphysematous Cystitis with Diabetic Neurogenic Bladder

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