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European Radiology

, Volume 11, Issue 2, pp 246–249 | Cite as

Emphysematous cystitis in a patient presenting with paradoxical arterial embolism and intestinal mycobacteriosis without evidence of diabetes

  • H.-P. Dinkel
  • S. Lourens
  • U. Brehmer
  • R. Pfammatter
  • J. Triller
  • P. Vock
UROGENITAL

Abstract

We describe the case of a 72-year-old woman who displayed massive multiple intramural gas collections of the bladder wall as an incidental finding on CT. The patient presented with critical ischemia of the left leg caused by paradoxical arterial embolism, raised corpuscular sedimentation rate, anemia by gastrointestinal blood loss, hypoproteinemia, diarrhea, malabsorption, and exudative enteropathia caused by mycobacterial ileocolitis. The patient had no dysuria and there was no evidence of diabetes. The intramural gas collections of the bladder wall, as shown by CT, were compatible with emphysematous cystitis. Urine samples proved infection by a multi-resistant strain of E. coli. Emphysematous cystitis is a rare form of bladder infection that can be diagnosed by plain-film radiograms or CT.

Key words Bladder CT Plain-film radiography Infection Intramural gas Emphysematous cystitis 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2001

Authors and Affiliations

  • H.-P. Dinkel
    • 1
  • S. Lourens
    • 1
  • U. Brehmer
    • 1
  • R. Pfammatter
    • 2
  • J. Triller
    • 1
  • P. Vock
    • 1
  1. 1.Department of Diagnostic Radiology, University of Bern, Inselspital, 3010 Bern, SwitzerlandCH
  2. 2.Department of Medicine, University of Bern, Inselspital, 3010 Bern, SwitzerlandCH

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