Abstract

MORALES-CARDENAS, Adriana; PEREZ MADRID, Camila; FERNANDEZ, Jessica  and  CARRILLO-BAYONA, Jorge Alberto. Retropneumoperitoneum secondary to emphysematous cystitis. CES Med. [online]. 2016, vol.30, n.1, pp.99-106. ISSN 0120-8705.

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 a patient with systemic lupus erythematosus presenting with retropneumoperitoneum secondary to emphysematous cystitis due to infection by Klebsiella pneumonia This is the first reported case of retropneumoperitoneum secundary to emphysematous cystitis in a patient with systemic lupus erythematosus whose only risk factor identified was the pharmacological immunosuppression with steroids.

Keywords : Urinary tract infection; High resolution computed tomography; Systemic lupus erythematosus; Retropneumoperitoneum.

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