Emphysematous cystitis onset after common bile duct stone surgery

Sheng Hsuan Chen, Hui Ming Chung, Tser Min Wu

Research output: Contribution to journalArticle

Abstract

Emphysematous cystitis (EC) is a potentially fatal disease if treatment is delayed. A high index of suspicion is crucial for an early diagnosis of the disorder, which typically occurs in patients with poorly controlled diabetes. Although gas in the bladder is suggestive of EC, other differential diagnoses include a postoperative state, an enterovesical fistula and urological instrumentation. We report on a 73-year-old female diabetic patient who had undergone major surgery for an obstructive common bile duct stone 3 weeks prior to the onset of EC. She presented with an initial picture of severe sepsis, possibly due to a postoperative infection of the urinary and/or biliary tract. She responded well to prompt therapy with antibiotics, adequate drainage of the urinary and biliary tracts, and good glycemic control. She was discharged on hospital day 7 and remained stable during the 3-month follow-up period.

Original languageEnglish
Pages (from-to)163-165
Number of pages3
JournalUrological Science
Volume22
Issue number4
DOIs
Publication statusPublished - Dec 2011

Fingerprint

Cystitis
Common Bile Duct
Biliary Tract
Urinary Tract
Fistula
Early Diagnosis
Drainage
Sepsis
Urinary Bladder
Differential Diagnosis
Gases
Anti-Bacterial Agents
Therapeutics
Infection

Keywords

  • Common bile duct stone
  • Diabetes
  • Emphysematous cystitis
  • Klebsiella
  • Urinary tract infection

ASJC Scopus subject areas

  • Urology

Cite this

Emphysematous cystitis onset after common bile duct stone surgery. / Chen, Sheng Hsuan; Chung, Hui Ming; Wu, Tser Min.

In: Urological Science, Vol. 22, No. 4, 12.2011, p. 163-165.

Research output: Contribution to journalArticle

Chen, Sheng Hsuan ; Chung, Hui Ming ; Wu, Tser Min. / Emphysematous cystitis onset after common bile duct stone surgery. In: Urological Science. 2011 ; Vol. 22, No. 4. pp. 163-165.
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