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Case Reports in Urology
Volume 2013 (2013), Article ID 821780, 3 pages
http://dx.doi.org/10.1155/2013/821780
Case Report

Emphysematous Cystitis Occurred in the Case Treated with Steroid for Autoimmune Hepatitis

1Department of Urology, JA Onomichi General Hospital, 1-10-23 Hirahara, Onomichi City, Hiroshima 722-0018, Japan
2Department of Urology, Integrated Health Sciences, Institute of Biochemical & Health Sciences, Hiroshima University, Hiroshima 734-8551, Japan

Received 12 April 2013; Accepted 23 June 2013

Academic Editors: T. Cai, S.-S. Chen, A. Goel, M. Marszalek, and T. J. Murtola

Copyright © 2013 Tateki Yoshino et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Emphysematous cystitis is a rare clinically entity, more commonly seen in diabetic, immunocompromised patients, which was characterized by air within the bladder wall and lumen. A 83-year-old woman was introduced to our department with fever elevation and abnormal findings of computed tomography (CT). She took orally prednisolone for autoimmune hepatitis. Pelvic CT revealed diffuse air throughout the bladder wall. Urinalysis showed combined hematuria and pyuria. Escherichia coli was detected in blood culture. Abnormal findings of complete blood count and laboratory examination included an elevated WBC count (12,200/ L), C-reactive protein (11.7 mg/dL), and creatinine (1.07 mg/dL). Cystoscopy confirmed diffuse submucosal emphysema throughout. On the basis of diagnosis with emphysematous cystitis, she was treated with antibiotics based on the results of blood culture and indwelling Foley catheter. After treatment, the improvement of inflammatory findings and submucosal emphysema on cystoscopy and CT were achieved.