This 29 y/o female with insulin dependent diabetes presented with lower abdominal pain and elevated WBC count. Her KUB shown above demonstrates emphysematous cystitis with gas in the urinary bladder wall. As is commonly the case, E. coli was cultured from the urine and the patient made an uneventful recovery after therapy with an appropriate antibiotic.

  1. O'Connor LA, De Guzman J. Emphysematous cystitis: a radiographic diagnosis. Am J Emerg Med 2001 May;19(3):211-3 PMID:11326348
  2. Ma JF, McClenathan JH. Emphysematous cystitis. J Am Coll Surg 2001 Nov;193(5):574 PMID:11708516
  3. Bartczak J, Schiedermayer D. Emphysematous cystitis: a case report. WMJ 1999 Dec;98(8):49-50 PMID:10639896
  4. Weddle J, Brunton B, Rittenhouse DR. An unusual presentation of emphysematous cystitis. Am J Emerg Med 1998 Nov;16(7):664-6 PMID:9827742
  5. Wortmann G, Fleckenstein J. Incidental discovery of emphysematous cystitis. South Med J 1998 Aug;91(8):785-6 PMID:9715232
  6. Salame H, Zalcman M, Struyven J. Emphysematous cystitis. J Belge Radiol 1997 Dec;80(6):312 PMID:9479910
  7. Biyani CS, Cornford PA, Scally JS, Powell CS. Emphysematous cystitis. Scand J Urol Nephrol 1997 Jun;31(3):309-10 PMID:9249901
  8. Davidson J, Pollack CV Jr. Emphysematous cystitis presenting as painless gross hematuria. J Emerg Med 1995 May-Jun;13(3):317-20 PMID:7673621
  9. Katz DS, Aksoy E, Cunha BA. Clostridium perfringens emphysematous cystitis. Urology 1993 May;41(5):458-60 PMID:8488615
  10. Quint HJ, Drach GW, Rappaport WD, Hoffmann CJ. Emphysematous cystitis: a review of the spectrum of disease. J Urol 1992 Jan;147(1):134-7 PMID:1729506
  11. Ankel F, Wolfson AB, Stapczynski JS. Emphysematous cystitis: a complication of urinary tract infection occurring predominantly in diabetic women. Ann Emerg Med 1990 Apr;19(4):404-6 PMID:2321826
  12. Yasumoto R, Asakawa M, Nishisaka N. Emphysematous cystitis. Br J Urol 1989 Jun;63(6):644 PMID:2752259
  13. Bohlman ME, Fishman EK, Oesterling JE, Goldman SM. CT findings in emphysematous cystitis. Urology 1988 Jul;32(1):63-4 PMID:3291372
  14. Kauzlaric D, Barmeir E. Sonography of emphysematous cystitis. J Ultrasound Med 1985 Jun;4(6):319-20 PMID:3892030
  15. Datta NS, Seminario O. Emphysematous cystitis presenting with subcutaneous emphysema. Urology 1978 Dec;12(6):701-3 PMID:741551

Use the Back or Backward button on your browser to return