Incidental discovery of an interstitial emphysematous cystitis with liver abscess: A report of hematogenous spread of infection

Emad Rajih; Ayman Sayed A; Sarah Mahrous; Abdullah Alharthi; Abdulrahman Alswaid; Abdulaziz Bakhsh

doi:10.1016/j.eucr.2020.101134

Incidental discovery of an interstitial emphysematous cystitis with liver abscess: A report of hematogenous spread of infection

Urol Case Rep. 2020 Feb 26:31:101134. doi: 10.1016/j.eucr.2020.101134. eCollection 2020 Jul.

Authors

Emad Rajih¹, Ayman Sayed A², Sarah Mahrous², Abdullah Alharthi², Abdulrahman Alswaid², Abdulaziz Bakhsh¹

Affiliations

¹ Urology Department, Taibah University, Madinah, Saudi Arabia.
² Urology Department, King Fahad General Hospital, Madinah, Saudi Arabia.

Abstract

Emphysematous cystitis is an unusual urological emergency in clinical practice. The disease characteristics are still underreported. It is characterized by the presence of gas in the urinary bladder wall secondary to gas forming organism. We report an incidental finding of emphysematous cystitis in a 35-year-old secondary to a huge liver abscess in a poorly controlled blood sugar. The infection spread hematogenously to the urinary bladder wall that was managed conservatively by urethral catheter drainage and hepatic abscess drainage in adjunct with antimicrobial therapy. The patient had no urinary symptoms. The bladder wall gas disappeared during follow-up in 2 weeks.

Keywords: Cystitis; Emphysematous cystitis; Urinary bladder.

Publication types

Case Reports