Emphysematous cystitis in a patient with Type 2 diabetes mellitus

Noriko Toyota, Daisuke Ogawa, Keita Ishii, Kyoji Hirata, Jun Wada, Kenichi Shikata, Hirofumi Makino

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19 Citations (Scopus)


A 62-year-old woman with a history of poorly controlled type 2 diabetes mellitus was admitted to our hospital with a 3-week history of mild fever, vomiting, and anorexia. Abdominal computed tomography (CT) showed bilateral hydronephrosis and gas accumulation in the urinary bladder wall and left ureter. Laboratory tests showed leukocytosis and elevated C-reactive protein level. Urine culture showed heavy growth of Escherichia coli. The final diagnosis was emphysematous cystitis. The patient was treated with systemic antibiotics and drainage using a urethral catheter. The clinical and radiographic findings resolved rapidly, and she was discharged from the hospital on day 28. Emphysematous cystitis is a relatively rare urinary tract infection associated with gas formation, and has the potential for a serious outcome if untreated. Early detection by imaging studies such as CT is important in providing prompt treatment and favorable clinical outcome.

Original languageEnglish
Pages (from-to)129-133
Number of pages5
JournalActa medica Okayama
Issue number2
Publication statusPublished - 2011


  • Computed tomography
  • Diabetes mellitus
  • Emphysematous cystitis

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)


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