Kang HY, Lee DS, Lee D. Unusual case of emphysematous cystitis mimicking intestinal perforation: A case report. World J Clin Cases 2023; 11(28): 6943-6948 [PMID: 37901005 DOI: 10.12998/wjcc.v11.i28.6943]
Corresponding Author of This Article
Donghyoun Lee, MS, Associate Professor, Department of Surgery, Jeju National University Hospital, Jeju National University College of Medicine, 15, Aran 13-gil, Jeju 63241, South Korea. dlee@jejunu.ac.kr
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 6, 2023; 11(28): 6943-6948 Published online Oct 6, 2023. doi: 10.12998/wjcc.v11.i28.6943
Unusual case of emphysematous cystitis mimicking intestinal perforation: A case report
Hye Yoon Kang, Dae-Sup Lee, Donghyoun Lee
Hye Yoon Kang, Department of Surgery, Samsung Medical Center, Seoul 06338, South Korea
Dae-Sup Lee, Department of Emergency Medicine, Pusan National University Yangsan Hospital, Yangsan 50612, South Korea
Donghyoun Lee, Department of Surgery, Jeju National University Hospital, Jeju National University College of Medicine, Jeju 63241, South Korea
Author contributions: Kang HY and Lee DS contributed equally to this work. Kang HY wrote and elaborated the manuscript, and performed both the clinical diagnosis and the subsequent patient follow-up; Lee DS contributed to data analysis, and drafting and revision of the manuscript; and all authors agree to take responsibility for all aspects of the work.
Supported bya research grant from Jeju National University Hospital in 2019, No. 2019-30.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this case report.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Donghyoun Lee, MS, Associate Professor, Department of Surgery, Jeju National University Hospital, Jeju National University College of Medicine, 15, Aran 13-gil, Jeju 63241, South Korea. dlee@jejunu.ac.kr
Received: July 16, 2023 Peer-review started: July 16, 2023 First decision: July 28, 2023 Revised: August 12, 2023 Accepted: September 11, 2023 Article in press: September 11, 2023 Published online: October 6, 2023
Abstract
BACKGROUND
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.
CASE SUMMARY
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.
CONCLUSION
Successful treatment of the patient described herein highlights the importance of accurately diagnosing EC, which can be difficult to differentiate from intestinal perforation.
Core Tip: Emphysematous cystitis (EC) is a rare form of complicated urinary tract infection characterized by gas within the bladder wall and lumen. Even with imaging examination(s), such as computed tomography, it can be difficult to differentiate between conditions when there is a significant amount of free air in the abdominal cavity, such as in cases of intestinal perforation and other diseases. Successful treatment of the patient described herein highlights the importance of accurately diagnosing EC, which can be difficult to differentiate from an intestinal perforation.
