Emphysematous cystitis


Diabetic womam with non-specific abdominal pain and a papalble mass at the lower abdomen

Patient Data

Age: 53
Gender: Female

Abdominla plain x-ray obtained with the patient upright demonstrates gas within the bladder lumen and some subtle circumlinear streaks of increased radiolucency representing air in the expected location of the urinary bladder.


CT demonstrates gas within the lumen and the wall of the bladder.

Case Discussion

Emphysematous cystitis represents a rare form of acute inflammation of the bladder mucosa and underlying musculature. Clinical symptoms of dysuria, increased urinary frequency, and hema­turia are common. The presence of pneumaturia is a rare, although more specific, clinical finding. Underlying diabetes mellitus is present in over half of reported cases, with women being affected twice as often as men.
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Case information

rID: 23558
Published: 23rd Jun 2013
Last edited: 16th Jul 2018
System: Urogenital
Inclusion in quiz mode: Included

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