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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành hóa học dành cho các bạn yêu hóa học tham khảo đề tài: Emphysematous cystitis with clinical subcutaneous emphysema | Sadek et al. International Journal of Emergency Medicine 2011 4 26 http www.intjem.eom content 4 1 26 o International Journal of Emergency Medicine a SpringerOpen Journal CASE REPORT Open Access Emphysematous cystitis with clinical subcutaneous emphysema Ahmed-Ramadan Sadek Helen Blake and Anand Mehta Abstract Emphysematous cystitis EC is the presence of intramural gas with or without luminal gas within the bladder as a result of a primary infection of the lower urinary tract with a gas-producing organism. It is a well-recognised complication of urinary tract infections involving Escherichia coli in diabetic patients. Clinical subcutaneous emphysema is a rare complication of EC that appears to have poor prognosis. Only careful clinical judgement and a high degree of suspicion will lead to its early diagnosis and treatment. Here we report a case of subcutaneous emphysema due to EC based on a clinical diagnosis confirmed using computed tomography CT . Introduction Emphysematous cystitis EC is the presence of intramural gas with or without luminal gas within the bladder as a result of a primary infection of the lower urinary tract with a gas-producing organism. The spectrum of clinical presentation of EC is non-specific and can range from minimally symptomatic urinary tract infection UTI to a scenario of peritonitis and septic shock 1 . Here we report a case of subcutaneous emphysema due to EC based on a clinical diagnosis confirmed using computed tomography CT . Case report An 81-year-old lady with poorly controlled non-insulin dependent diabetes presented to our accident and emergency department with increased frailty and confusion following review by her GP. She had been discharged 10 days earlier following treatment for a lower respiratory tract infection. In view of her deterioration her GP was concerned that her decline may have been attributable to an occult infection or neoplasm. She was observed to have bilateral pitting oedema. On assessment in hospital the
