{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T13:52:16Z","timestamp":1781877136646,"version":"3.54.5"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:p>Emphysematous cystitis is an uncommon condition characterised by the presence of gas in the bladder. It is an infection caused by gas forming organisms, usually in elderly women with a background of diabetes mellitus. The presentation is variable, however with increasing use of imaging more cases are being diagnosed in asymptomatic patients. Routine cross-sectional imaging is not advocated for specific diagnosis but its role in accurate assessment of the severity of the condition cannot be overlooked. As the mode and duration of follow-up in incidentally detected cases has not been addressed in the literature, follow-up should be tailored individually depending upon the severity and response to treatment. We describe two such incidentally detected cases of emphysematous cystitis in elderly diabetic patients and present a review of the literature. The triad of treatment is adequate control of diabetes, antibiotics and bladder drainage. One patient died in the hospital, while the other underwent a flexible cystoscopy 6 weeks later which was normal.<\/jats:p>","DOI":"10.1136\/bcr.05.2009.1832","type":"journal-article","created":{"date-parts":[[2009,12,10]],"date-time":"2009-12-10T05:58:40Z","timestamp":1260424720000},"page":"bcr0520091832","source":"Crossref","is-referenced-by-count":5,"title":["Emphysematous cystitis: radiological diagnosis of complicated urinary tract infection"],"prefix":"10.1136","volume":"2009","author":[{"given":"Seshikanth","family":"Middela","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Euan","family":"Green","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Montague","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2009,12,9]]},"reference":[{"key":"2025042508220219000_2009.dec09_1.bcr0520091832.1","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":"100","author":"Thomas","year":"2007","journal-title":"BJU Int"},{"key":"2025042508220219000_2009.dec09_1.bcr0520091832.2","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-200702000-00009"},{"key":"2025042508220219000_2009.dec09_1.bcr0520091832.3","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0b013e3180307c3a"},{"issue":"Suppl 1A","key":"2025042508220219000_2009.dec09_1.bcr0520091832.4","doi-asserted-by":"crossref","first-page":"80S","DOI":"10.1016\/S0002-9343(02)01062-8","article-title":"Urinary tract infections in patients with diabetes","volume":"113","author":"Stapleton","year":"2002","journal-title":"Am J Med"},{"key":"2025042508220219000_2009.dec09_1.bcr0520091832.5","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2005.05.019"},{"key":"2025042508220219000_2009.dec09_1.bcr0520091832.6","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/S0022-5347(17)34889-9","article-title":"Gas in hepatic veins: a rare and critical presentation of emphysematous pyelonephritis","volume":"151","author":"Chen","year":"1994","journal-title":"J Urol"},{"key":"2025042508220219000_2009.dec09_1.bcr0520091832.7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2008.02127.x"},{"key":"2025042508220219000_2009.dec09_1.bcr0520091832.8","first-page":"3876","article-title":"Emphysematous cystitis with total necrotization of the bladder","volume":"170","author":"Rindom","year":"2008","journal-title":"Ugeskr Laeger"},{"key":"2025042508220219000_2009.dec09_1.bcr0520091832.9","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1148\/radiographics.22.3.g02ma06543","article-title":"Emphysematous infections of the abdomen and pelvis: a pictorial review","volume":"22","author":"Grayson","year":"2002","journal-title":"Radiographics"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.05.2009.1832","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T15:22:07Z","timestamp":1745594527000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.05.2009.1832"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009]]},"references-count":9,"alternative-id":["10.1136\/bcr.05.2009.1832"],"URL":"https:\/\/doi.org\/10.1136\/bcr.05.2009.1832","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009]]}}}