Ergün Tarkan, Eldem Halil Olcay, Lakadamyalı Hatice
Department of Radiology, Faculty of Medicine, Başkent University, Ankara, Turkey.
Department of Cardiology, Faculty of Medicine, Başkent University, Ankara, Turkey.
Turk J Urol. 2014 Mar;40(1):65-7. doi: 10.5152/tud.2014.32744.
Emphysematous cystitis is a relatively rare infection characterized by the accumulation of air within the urinary bladder wall and bladder lumen. Diabetes mellitus and neurogenic bladder are the major risk factors of emphysematous cystitis. The clinical presentation varies from asymptomatic to fatal disease state. Computed tomography is the best diagnostic imaging modality. Here, we present a case of an 81-year-old woman with poorly controlled type II diabetes mellitus who had acute lower abdominal pain after a percutaneous transluminal coronary angioplasty which demonstrated emphysematous cystitis caused by Escherichia coli that resolved with antibiotic treatment.
气肿性膀胱炎是一种相对罕见的感染，其特征是膀胱壁和膀胱腔内积聚气体。糖尿病和神经源性膀胱是气肿性膀胱炎的主要危险因素。临床表现从无症状到致命疾病状态不等。计算机断层扫描是最佳的诊断成像方式。在此，我们报告一例81岁患有II型糖尿病且控制不佳的女性病例，该患者在经皮腔内冠状动脉成形术后出现急性下腹痛，经检查显示为大肠杆菌引起的气肿性膀胱炎，经抗生素治疗后痊愈。
