Emphysematous cystitis: A review of the spectrum of disease

H. J. Quint, G. W. Drach, William - Adamas-Rappaport, C. J. Hoffmann

Research output: Contribution to journalArticle

127 Citations (Scopus)

Abstract

Emphysematous cystitis is an uncommon condition in which pockets of gas are formed in and around the bladder wall by gas-forming organisms. Persons with diabetes, neurogenic bladder and chronic urinary infection are predisposed to the disease. Severity of illness ranges from an asymptomatic condition to life-threatening cystitis. We present 2 cases of emphysematous cystitis. One case was an incidental finding on evaluation of abdominal discomfort with resolution upon removal of predisposing factors. The other patient presented with an acute abdomen that progressed to severe necrotizing cystitis ultimately requiring cystectomy. The initial involvement of the urologist as a consultant is emphasized. A complete review of the literature describes the incidence, various presentations, associated diseases and organisms, pathogenesis, and available methods for diagnosis and treatment reported for this disease. Successful management depends on early diagnosis with correction of underlying causes, administration of appropriate antibiotics, establishment of adequate bladder drainage and surgical excision of involved tissue when required. Early detection and prompt treatment are encouraged.

Original languageEnglish (US)
Pages (from-to)134-137
Number of pages4
JournalJournal of Urology
Volume147
Issue number1
StatePublished - 1992

Fingerprint

Cystitis
Urinary Bladder
Gases
Asymptomatic Diseases
Neurogenic Urinary Bladder
Acute Abdomen
Incidental Findings
Cystectomy
Consultants
Causality
Early Diagnosis
Drainage
Anti-Bacterial Agents
Incidence
Therapeutics
Infection

Keywords

  • bladder diseases
  • cystitis

ASJC Scopus subject areas

  • Urology

Cite this

Quint, H. J., Drach, G. W., Adamas-Rappaport, W. ., & Hoffmann, C. J. (1992). Emphysematous cystitis: A review of the spectrum of disease. Journal of Urology, 147(1), 134-137.

Emphysematous cystitis : A review of the spectrum of disease. / Quint, H. J.; Drach, G. W.; Adamas-Rappaport, William -; Hoffmann, C. J.

In: Journal of Urology, Vol. 147, No. 1, 1992, p. 134-137.

Research output: Contribution to journalArticle

Quint, HJ, Drach, GW, Adamas-Rappaport, W & Hoffmann, CJ 1992, 'Emphysematous cystitis: A review of the spectrum of disease', Journal of Urology, vol. 147, no. 1, pp. 134-137.
Quint, H. J. ; Drach, G. W. ; Adamas-Rappaport, William - ; Hoffmann, C. J. / Emphysematous cystitis : A review of the spectrum of disease. In: Journal of Urology. 1992 ; Vol. 147, No. 1. pp. 134-137.
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