Emphysematous Cystitis with Severe Hemorrhagic Anemia Resulting from Diabetes Mellitus Type 2

Fumie SAKAMOTO, Hideki TAKI, Toshiaki YAMAGATA, Sayaka TSUKURIMICHI, Masahiko IKEDA, Toshihiro SUGIURA, Akira WADA, Yoshifumi FUKUHARA, Hideki ETANI, Ryohei TODO
2004 Internal medicine (Tokyo. 1992)  
A 48-year-old woman suffering from hematuria was admitted to our hospital due to conscious disturbance. She had lower abdominal phantom tumor, anemia, renal dysfunction, hyperglycemia, metabolic acidosis and electrolyte abnormalities. Because of pelvocaliceal dilatation noted on abdominal ultrasonography, we first diagnosed her as having postrenal failure. With massive blood clots and gas emission from her urethra upon attempting cystoscopy, the remarkable expansion of the urinary bladder and a
more » ... inary bladder and a three-layered structure of gas, urine and complex of blood and debris inside her urinary bladder noted on abdominal CT scan, as well as the increased white blood cell count, we finally concluded our diagnosis as emphysematous cystitis. (Internal Medicine 43: [315][316][317][318] 2004)
doi:10.2169/internalmedicine.43.315 pmid:15168775 fatcat:cjurzuy7lzg2vnwxdvcvmqxe5u