Kang Hye Yoon, Lee Dae-Sup, Lee Donghyoun
Department of Surgery, Samsung Medical Center, Seoul 06338, South Korea.
Department of Emergency Medicine, Pusan National University Yangsan Hospital, Yangsan 50612, South Korea.
World J Clin Cases. 2023 Oct 6;11(28):6943-6948. doi: 10.12998/wjcc.v11.i28.6943.
Emphysematous cystitis (EC) is a bladder condition commonly caused by gas-generating bacterial infections. Factors that increase the risk for developing this condition include female gender, age ≥ 60 years, and diabetes mellitus, glycosuria, and urinary stasis. The symptoms of EC often lack specificity, making diagnostic imaging techniques crucial for accurate identification of the condition.
This report presents an unusual case of EC that mimicked intestinal perforation. While it was initially challenging to differentiate between intestinal perforation and EC on admission, the patient managed to avoid unnecessary surgery and made a good recovery solely through antibiotic treatment.
Successful treatment of the patient described herein highlights the importance of accurately diagnosing EC, which can be difficult to differentiate from intestinal perforation.
气肿性膀胱炎(EC)是一种常见的膀胱疾病,通常由产气细菌感染引起。增加患此病风险的因素包括女性、年龄≥60岁、糖尿病、糖尿和尿潴留。EC的症状往往缺乏特异性,这使得诊断成像技术对于准确识别该疾病至关重要。
本报告介绍了一例罕见的模仿肠穿孔的气肿性膀胱炎病例。入院时,在区分肠穿孔和EC方面最初具有挑战性,但患者仅通过抗生素治疗成功避免了不必要的手术,并恢复良好。
本文所述患者的成功治疗突出了准确诊断EC的重要性,而EC可能难以与肠穿孔区分开来。