Severe hemorrhage in patient carrier of diabetes mellitus type 2 with emphysematous cystitis: a case report and literature review / Hemorragia grave em doente portador de diabetes mellitus tipo 2 com cistite enfisematosa: um relatório de caso e revisão de literatura

Mario Maciel de Lima Junior, Thiago Quirino Araujo Souza, Magna Feitosa Barbosa, Laura Beatriz Rocha Bacelar Paiva


Background: Emphysematous cystitis is a disease of the bladder with retention of gas in the bladder wall or lumen. The risk factors include urinary tract infection by gas producing anaerobic bacteria and fungi, diabetes mellitus and compromised immunity. Primary risk factor being diabetes mellitus, emphysematous cystitis can occur with unsual presentations like hypervolemic shock. Imaging technologies are widely used to diagnose and detect emphysematous cystitis. However, better diagnosis can be achieved by computed tomography (CT) of the abdomen and pelvis. Early and accurate diagnosis of  emphysematous cystitis in diabetic patients can result in better prognosis of the disease.

Case presentation: Here, we report for the first time a case of emphysematous cystitis with hypovolemic shock with type 2 diabetes mellitus, and present a review of literature on the topic. The diabetic patients with emphysematous cystitis should be cautiously monitored for hypervolemic shock along with the routine management of the disease. Conclusions: Such patients should be kept on constant monitoring for hypervolemic shock along with conventional diagnosis and management of the disease.



emphysematous cystitis, diabetes, hypervolemic shock.

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