{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:10:09Z","timestamp":1756365009627,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>An 86-year-old woman with type 2 diabetes was admitted with increasing lethargy and hyperglycaemia. On examination she was noted to have a tender and tympanic bladder. CT revealed a distended bladder with gas locules in the bladder wall. She was diagnosed with hyperglycaemic hyperosmolar non-ketosis precipitated by emphysematous cystitis. After systemic antibiotics and bladder drainage via a urethral catheter, her symptoms readily improved. Radiographic appearances of the bladder were normal one week after instigating treatment. Emphysematous cystitis is characterized by gas within the bladder wall. Although rare it is increasingly more recognized with the advent of modern imaging. The mainstay of treatment is antibiotics and bladder drainage. Rarely surgical debridement and even cystectomy is required.<\/jats:p>","DOI":"10.1136\/bcr-2013-009050","type":"journal-article","created":{"date-parts":[[2013,4,30]],"date-time":"2013-04-30T01:10:53Z","timestamp":1367284253000},"page":"bcr2013009050","source":"Crossref","is-referenced-by-count":1,"title":["Emphysematous cystitis: a tympanic bladder"],"prefix":"10.1136","volume":"2013","author":[{"given":"Luke","family":"Dixon","sequence":"first","affiliation":[{"name":"Charing Cross Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathias","family":"Winkler","sequence":"additional","affiliation":[{"name":"Department of Urology, Imperial College Healthcare Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,4,29]]},"reference":[{"key":"2025082723352130000_2013.apr29_1.bcr2013009050.1","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/S0022-5347(17)37160-4","article-title":"Emphysematous cystitis: a review of the spectrum of disease","volume":"2013","author":"Quint","year":"1992","journal-title":"J Urol"},{"key":"2025082723352130000_2013.apr29_1.bcr2013009050.2","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1111\/j.1464-410X.2007.06930.x","article-title":"Emphysematous cystitis: a review of 135 cases","volume":"2013","author":"Thomas","year":"2007","journal-title":"Br J Urol Int"},{"key":"2025082723352130000_2013.apr29_1.bcr2013009050.3","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.1097\/00007890-199610150-00023","article-title":"Emphysematous cystitis and pyelitis in a diabetic renal transplant recipient","volume":"2013","author":"Akalin","year":"1996","journal-title":"Transplantation"},{"key":"2025082723352130000_2013.apr29_1.bcr2013009050.4","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1097\/MD.0b013e3180307c3a","article-title":"Emphysematous cystitis: illustrative case report and review of the literature","volume":"2013","author":"Grupper","year":"2007","journal-title":"Medicine (Baltimore)"},{"key":"2025082723352130000_2013.apr29_1.bcr2013009050.5","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1186\/1476-0711-3-20","article-title":"Emphysematous cystitis: an unusual disease of the genito-urinary system suspected on imaging","volume":"2013","author":"Bobba","year":"2004","journal-title":"Ann Clin Microbiol Antimicrob"},{"key":"2025082723352130000_2013.apr29_1.bcr2013009050.6","first-page":"281","article-title":"Emphysematous cystitis: rapid resolution of symptoms with hyperbaric treatment: a case report","volume":"2013","author":"McCabe","year":"2004","journal-title":"Undersea Hyperb Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-009050","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:35:29Z","timestamp":1756362929000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-009050"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,29]]},"references-count":6,"alternative-id":["10.1136\/bcr-2013-009050"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-009050","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,4,29]]}}}