Medical Image of the Month: Emphysematous Cystitis

Friday, November 15, 2019 at 8:00AM
Rick Robbins, M.D. in CT scan, Candida, E. coli, Klebsiella, Proteus, bladder wall, cystitis, emphysematous cystitis, gas producing, symptoms

Figure 1. Abdominal CT with contrast showing a thickened, trabeculated bladder wall containing pockets of gas consistent with emphysematous cystitis due to E. coli infection.

Emphysematous cystitis is a rare infection of the urinary bladder caused by gas producing organisms which can be bacterial or fungal characterized by gas collections inside the bladder wall (1). Most common organisms are E. coli, Klebsiella and Proteus are also commonly isolated. Fungi, such as Candida, have also been reported as causative organisms. Presentation range from asymptomatic up to septic shock.

Jonathon P. Mahn DO¹ and Mohammad A. Mahmoud MD, DO²

¹Canyon Vista Medical Center and ²Internal Medicine Residency, Midwestern University, Arizona College of Osteopathic Medicine, Canyon Vista Medical Center

Tucson, AZ USA

Reference

1. Amano M, Shimizu T. Emphysematous cystitis: a review of the literature. Intern Med. 2014;53(2):79-82. [CrossRef] [PubMed]

Cite as: Mahn JP,  Mahmoud MA. Medical Image of the month: emphysematous cystitis. Southwest J Pulm Crit Care. 2019;19(5):148. doi: https://doi.org/10.13175/swjpcc045-19 PDF 

Article originally appeared on Southwest Journal of Pulmonary, Critical Care and Sleep (https://www.swjpcc.com/).