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Case of the Week 529



What is the most likely diagnosis?

  • 73 year-old with pyuria



Axial CT scan through pelvis

  1. Lymphoma
  2. Avascular Necrosis of the Hips
  3. Emphysematous Cystitis
  4. Rectal Carcinoma
  5. Uterine Fibroids

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Additional Images


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Answer:

 

3. Emphysematous Cystitis

 

More (Click Discussion Tab)

 

 

Emphysematous Cystitis

General Considerations

  • Acute inflammation of bladder mucosa and underlying muscle
  • Diabetes mellitus, frequently poorly controlled, is present in 50-80% of cases
  • Other predisposing conditions
    • Chronic urinary tract infections
    • Neurogenic bladder
    • Bladder outlet obstruction
  • Women are affected twice as often as men
  • Gas-forming organisms most often found include E. coli and Enterobacter aerogens, with Clostridia and Candida species found on occasion

MORE . . .

 


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