Sr. Director: La cistitis enfisematosa es una rara complicación infecciosa, vista principalmente en diabéticos. A continuación presentamos el primer enfermo con . La cistitis enfisematosa es un cuadro infeccioso de rara presentación y más frecuente en pacientes mujeres diabéticas, caracterizado por la presencia de gas. La cistitis enfisematosa es una rara condición caracterizada por la presencia de gas en el lumen y la pared de la vejiga como consecuencia de la colonización.

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Retroneumoperitoneo secundario a cistitis enfisematosa. Retropneumoperitoneum secondary to emphysematous cystitis.

Su prevalencia o incidencia es desconocida, dada la baja frecuencia de la enfermedad. Emphysematous cystitis is defined as the presence of gas in the bladder wall due to infection by gas-forming organisms. It is more common in females, predominantly between the sixth and eighth decades of life.


The identified risk factors are immunosuppression secondary to systemic diseases or drugs ; structural or neurological lower urinary tract alterations, among others. Prevalence or incidence is unknown. Clinical manifestations are variable, ranges from an asymptomatic patient to fulminant sepsis.

Although diagnosis can be made through complementary diagnostic imaging or direct visualization methods such as cystoscopy, laparotomy or laparoscopy, requiring bacteriological rescue to confirm infectious etiology.

The most frequently diagnostic tool used is computed tomography. We report the case of. This is the first reported case of enfisematsoa secundary to emphysematous cystitis in a patient with systemic lupus erythematosus whose only risk factor identified was the pharmacological immunosuppression with steroids.

Urinary tract infection, High resolution computed tomography, Systemic lupus erythematosus, Retropneumoperitoneum. Los factores de riesgo descritos son: En la serie de Grupper et al. Hallazgos similares fueron reportados en la serie de Kuo et al.

Rev CES Med 30 1: Abstract Emphysematous cystitis is defined as the presence of gas in the bladder wall due to infection by gas-forming organisms. Emphysematous cystitis with clinical subcutaneous emphysema. Int J Emerg Med. Springer Open Ltd; ;4 1: A Review of the Literature. An atypical multi-organism presentation.

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Cistitis enfisematosa

Emphysematous urinary tract infections: Am J Med Sci. Emphysematous cystitis with diabetic neurogenic bladder.

Emphysematous cystitis and emphysematous pyelitis: Pan Afr Med J [Internet]. Case report emphysematous cystitis occurred in the case treated enfisemayosa steroid for autoimmune hepatitis. A possible additive risk factor for emphysematous cystitis in diabetes mellitus: Outcome after seven days of antibiotics.

Gas extraluminal abdominal en imagen. Clinical features and prognostic factors of emphysematous urinary tract infection.

J Microbiol Immunol Infect. Am J Emerg Med. The role of CT imaging and appropriate treatment. Vesico-vaginal and recto-vaginal fistulae.