Gargouri Mohamed mourad
La Rabta Hospital Tunis, Tunisia
Title: Severe sepsis secondary to emphysematous cystitis
Biography
Biography: Gargouri Mohamed mourad
Abstract
Emphysematous cystitis (EC) is a rare, a rapidly progressive infection, characterized by gas formation within the bladder wall. Gas production is mainly due to fermentation of glucose or albumin by the pathogen organisms. Herein, we present a case of EC that was presented with severe sepsis, in the absence of known risk factors. The patient had, also, two calculi within the bladder and had Horseshoe kidney. Laboratory work-up showed a high creatinine level, thrombocytopenia and hyperbilirubinemia. Diagnosis of EC was made by ultrasonography, showing a circumferential, acoustic shadow around the bladder wall. Computed tomography confirmed the diagnosis. With appropriate antibiotics and bladder drainage, healing was rapid. Endoscopic disintegration of stone was realized three weeks later and follow-up was uneventful.