[Emphysematous cystitis]

Urologe A. 2016 May;55(5):645-7. doi: 10.1007/s00120-016-0080-y.
[Article in German]


Emphysematous cystitis is a rare disease with a high mortality rate. Generally elderly women with diabetes mellitus are affected. Diagnosis is made radiologically using plain abdominal X‑ray or computed tomography. The therapy includes urine drainage, antibiotic treatment and hyperglycaemic control to avoid progress of the infection and the development of complications. In the current report we present a case of a 79-year-old woman with uncontrolled diabetes mellitus and an incidental diagnosis of emphysematous cystitis.

Keywords: Diabetes mellitus; Emphysema; Hyperglycemia; Pneumaturia; Urinary tract infection.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Breast Neoplasms / complications
  • Cefuroxime / therapeutic use
  • Cystitis / diagnosis*
  • Cystitis / therapy*
  • Diabetes Complications / diagnosis*
  • Diabetes Complications / therapy
  • Diabetes Mellitus, Type 2 / complications*
  • Disease Progression
  • Emphysema / diagnosis*
  • Emphysema / therapy*
  • Escherichia coli Infections / diagnosis*
  • Escherichia coli Infections / therapy
  • Female
  • Fluid Therapy
  • Glycated Hemoglobin / metabolism
  • Humans
  • Tomography, X-Ray Computed
  • Urinary Catheterization


  • Glycated Hemoglobin A
  • hemoglobin A1c protein, human
  • Cefuroxime