y Cajal-Calvo JR, Muñiz-Suárez L

Language: Spanish
References: 7
Page:
PDF size: 323.98 Kb.

ABSTRACT

Case description: The objective of this study is to describe the robot- assisted Madigan technique and report our initial experience in three cases with benign prostatic hyperplasia who underwent simple robot-assisted prostatectomy with this technique. No major complications were r Clinical case description: 86-year-old patient, hypertensive, who came to the emergency room due to a poor general condition, desaturation and elevation of acute phase reactants. In this context, several complementary tests are performed, including radiological tests that reveal ectopic air in the bladder wall compatible with emphysematous cystitis. Hospital admission was decided for intravenous antibiotic therapy and evolutionary control. During her admission the patient presented a torpid and rapid evolution, suffering a hemodynamic deterioration producing fatal death on admission due to multiorgan failure.
Relevance: Emphysematous cystitis is an infectious condition of rare presentation and more frequent in diabetic female patients, characterized by the presence of gas in the bladder cavity. The peculiarity of our case is due to the fact that the patient did not have diabetes, and this pathology is much more common in diabetic patients.
Clinical implications: An early diagnostic suspicion is of vital importance, especially in decompensated insulin-dependent patients with urinary infection. Imaging findings are characteristic of this pathology and constitute the differential element of its definitive diagnosis.
Conclusions: Emphysematous cystitis is an unusual pathology, but it can present high morbidity and mortality. In most cases, it has a good prognosis with antibiotic treatment and good glycemic control.

REFERENCES

1. Bailey H. Cystitis emphysematosa; 19 cases with intraluminal and interstitial collections of gas. Am J Roentgenol Radium Ther Nucl Med. 1961; 86:850–62.

2. Thomas AA, Lane BR, Thomas AZ, Remer EM, Campbell SC, Shoskes DA. Emphysematous cystitis: a review of 135 cases. BJU Int. 2007;100(1):17–20. doi: 10.1111/j.1464- 410X.2007.06930.x

3. Galiano Baena JF, Caballero Romeu JP, Galán Llopis JA, Leivar Tamayo A, Lobato Encinas JJ. Cistitis enfisematosa: Caso clínico y revisión de literatura. Actas Urológicas Españolas. 2008;32(9):948–50.

4. Yoshida K, Murao K, Fukuda N, Tamura Y, Ishida T. Emphysematous cystitis with diabetic neurogenic bladder. Intern Med. 2010;49(17):1879–83. doi: 10.2169/ internalmedicine.49.3247

5. Grupper M, Kravtsov A, Potasman I. Emphysematous cystitis: illustrative case report and review of the literature. Medicine (Baltimore). 2007;86(1):47–53. doi: 10.1097/ MD.0b013e3180307c3a

6. Ergün T, Eldem HO, Lakadamyalı H. A rare cause of acute lower abdominal pain: Emphysematous cystitis. Turk J Urol. 2014;40(1):65–7. doi: 10.5152/tud.2014.32744

7. Barclay-Buchanan CJ, Irving SC. Emphysematous Cystitis. Visual Journal of Emergency Medicine. 2016;4:47–8. doi: 10.1016/j.visj.2016.02.019