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KMID : 0374920050260010169
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Inje Medical Journal
2005 Volume.26 No. 1 p.169 ~ p.175
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A Case of insidentally Discovered Emphysematous Cystitis in Type 2 Diabetic patient
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Park Bo-Min
Kim Yoon-Jung
Lee Young-Tae
Noh Jung-Hyun
Kwon Su-Kyoung
Kim Dong-Jun
Lee Byung-Doo
Lim Kyung-Ho
Lee Soon-Hee
Park Jeong-Hyun
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Abstract
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Emphysematous cystitis is an uncommon disease in which bacterias produce gas within the bladder wall and surrounding tissue. Patients with diabetes, neurogenic bladder and chronic urinary tract infection are predisposed to the disease. It is usually caused by E.coli and Klebsiella. Severity of illness ranges from an asymtomatic condition to life threatening cystitis. Succesful 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.
We report a case of 52-year-old woman who did not compain of symtoms of cystitis but epigastric pain, nausea, and vomitting. Emphysematous cystitis was revealed on the abdominal X-ray series incidentally. CT scans of the pelvis showed mottled gas bubble within the bladder. After treatment, the symtoms subsided and plain abdominal film showed no evidence of gas shadow in the pelvic cavity.
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KEYWORD
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Emphysematous Cystitis, Diabetes mellitus
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