OJRad  Vol.5 No.3 , September 2015
Ultrasound Contribution to the Diagnosis of Emphysematous Cystitis
ABSTRACT
Emphysematous cystitis is a severe urinary tract infection which threatens patients’ life. Thus, it requires early diagnosis and computed tomography (CT) is the reference medical exam used to address it. However, ultrasound, which is a non-ionizing and very accessible technique, may also contribute to diagnosis. The aim of this study was to illustrate the contribution of ultrasound to the diagnosis of emphysematous cystitis. We report three cases of emphysematous cystitis diagnosed by ultrasound. In all the cases, ultrasound identified basic signs showing presence of gas, including a hyperechoic cystic parietal thickening, repeat echoes and dirty shadow cones of intraluminal focus. Diagnostic confirmation was made in two cases through X-ray and in one case by means of computed tomography. Through simple basic signs, ultrasound directs most usefully towards an emphysematous urinary tract infection. CT enables a more accurate diagnostic work-up of lesions and differential diagnosis with vesico-digestive fistula.
Cite this paper
Tové, K. , Napon, M. , Nikiema, Z. , Yèkpè, P. , Biaou, O. and Boco, V. (2015) Ultrasound Contribution to the Diagnosis of Emphysematous Cystitis. Open Journal of Radiology, 5, 170-175. doi: 10.4236/ojrad.2015.53024.
References
[1]   Thomas, A.A., Lane, B.R., Thomas, A.Z., Remer, E.M., Campbell, S.C. and Shoskes, D.A. (2007) Emphysematous Cystitis: A Review of 135 Cases. BJU International, 100, 17-20.
http://dx.doi.org/10.1111/j.1464-410X.2007.06930.x

[2]   Mnif, M.F., Kamoun, M., Kacem, F.H., Bouaziz, Z., Charfi, N., Mnif, F., et al. (2013) Complicated Urinary Tract Infections Associated with Diabetes Mellitus: Pathogenesis, Diagnosis and Management. Indian Journal of Endocrinology and Metabolism, 17, 442-445.
http://dx.doi.org/10.4103/2230-8210.111637

[3]   Bobba, R.K., Arsura, E.L., Sarna, P.S. and Sawh, A.K. (2004) Emphysematous Cystitis: An Unusual Disease of the Genito-Urinary System Suspected on Imaging. Annals of Clinical Microbiology and Antimicrobials, 4, 1-4.

[4]   Connor, L.A.O. and Guzman, J.D.E. (2001) Emphysematous Cystitis: A Radiographic Diagnosis. American Journal of Emergency Medicine, 19, 211-213.
http://dx.doi.org/10.1053/ajem.2001.23896

[5]   Eken, A. and Alma, E. (2013) Emphysematous Cystitis: The role of CT Imaging and Appropriate Treatment. Canadian Urological Association Journal, 7, 11-13.
http://dx.doi.org/10.5489/cuaj.472

[6]   Choong, K.K.L. (2003) Sonographic Detection of Emphysematous Cystitis. Journal of Ultrasound in Medicine, 22, 847-849.

[7]   Habetz, V.J., Matthews, C.C. and Durel, R.M. (2014) Emphysematous Cystitis. Ochsner Journal, 14, 529-531.

[8]   Grupper, M., Kravtsov, A. and Potasman, I. (2007) Emphysematous Cystitis: Illustrative Case Report and Review of the Literature. Medicine, 86, 47-53.
http://dx.doi.org/10.1097/MD.0b013e3180307c3a

[9]   Behera, V., Kumar, R.S.V., Mendonca, S., Prabhat, P., Naithani, N. and Nair, V. (2014) Emphysematous Infections of the Kidney and Urinary Tract: A Single-Center Experience. Saudi Journal of Kidney Diseases and Transplatation, 25, 823-829.
http://dx.doi.org/10.4103/1319-2442.135164

[10]   Viswanathan, S., Rajan, R.P., Iqbal, N., Subramani, J. and Muthu, V. (2012) Enterococcus Faecium Related Emphysematous Cystitis and Bladder Rupture. Australasian Medical Journal, 5, 581-584.
http://dx.doi.org/10.4066/AMJ.2012.1416

 
 
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