{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T21:20:10Z","timestamp":1770412810538,"version":"3.49.0"},"reference-count":8,"publisher":"IMR Press","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Hosp Med"],"published-print":{"date-parts":[[2007,9]]},"abstract":"<jats:p>\n                    A 70-year-old poorly-controlled type 2 diabetic male presented with a 48-hour history of dysuria, frequency and frank haematuria. He described a 6-week history of worsening bladder outflow obstructive symptoms with nocturia and hesitancy. On examination he had a temperature of 37.5\u00b0C and tenderness in the left iliac fossa. Digital rectal examination revealed a tender, smoothly enlarged prostate gland. Blood glucose measurement was significantly elevated at 17 mmol\/litre and serum white cell count was elevated at 19\u00d710\n                    <jats:sup>9<\/jats:sup>\n                    \/litre, demonstrating a marked neutrophilia. A plain film of the abdomen demonstrated the presence of a well-defined area of lucency in the region of the bladder suggestive of air within the bladder wall. A large lucent area was also noted in the left lower quadrant suggestive of a large bladder diverticulum distended with air (Figure 1). Based on these findings, a diagnosis of emphysematous cystitis was considered likely and the patient was commenced on broad-spectrum intravenous antibiotics, intravenous fluids and subcutaneous insulin sliding scale.\n                  <\/jats:p>\n                  <jats:p>Subsequent computed tomography of his abdomen and pelvis with intravenous and oral contrast confirmed the presence of emphysematous cystitis with a markedly abnormal, thick-walled bladder as well as air within the bladder wall (Figure 2). The large lucency seen in the left lower quadrant on plain film was shown on computed tomography to represent a 9.7 cm bladder diverticulum, also containing air within its wall (Figure 3). There was no evidence of a colovesical fistula. Urine culture demonstrated a significant growth of Escherichia coli. His clinical course was uneventful and he was discharged home well 7 days later on oral antibiotics for a total of 14 days. He is due for further investigation of his lower urinary tract symptoms with cystoscopy.<\/jats:p>","DOI":"10.12968\/hmed.2007.68.9.27175","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T09:43:27Z","timestamp":1400838207000},"page":"498-499","source":"Crossref","is-referenced-by-count":0,"title":["Emphysematous cystitis"],"prefix":"10.31083","volume":"68","author":[{"given":"Rowan","family":"Casey","sequence":"first","affiliation":[{"name":"The National Children's Hospital, Tallaght, Dublin 24, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Stunell","sequence":"additional","affiliation":[{"name":"The National Children's Hospital, Tallaght, Dublin 24, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William C","family":"Torreggiani","sequence":"additional","affiliation":[{"name":"The National Children's Hospital, Tallaght, Dublin 24, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald","family":"Grainger","sequence":"additional","affiliation":[{"name":"The National Children's Hospital, Tallaght, Dublin 24, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","reference":[{"issue":"5","key":"p_12","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1016\/S0022-5347(17)42774-1","volume":"139","author":"Bartkowski DP","year":"1988","journal-title":"J Urol"},{"key":"p_13","first-page":"3","volume":"5","author":"Bobba RK","year":"2004","journal-title":"Ann Clin Microbiol Antimicrob"},{"key":"p_14","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(88)90458-X"},{"key":"p_15","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.22.3.g02ma06543"},{"key":"p_16","doi-asserted-by":"publisher","DOI":"10.1097\/00005392-199501000-00018"},{"key":"p_17","doi-asserted-by":"publisher","DOI":"10.1148\/radiographics.16.2.8966288"},{"key":"p_18","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(92)90210-N"},{"key":"p_19","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/S0022-5347(17)37160-4","volume":"147","author":"Quint HJ","year":"1992","journal-title":"J Urol"}],"container-title":["British Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/hmed.2007.68.9.27175","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T10:19:05Z","timestamp":1770373145000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/BJHM\/68\/9\/10.12968\/hmed.2007.68.9.27175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,9]]},"references-count":8,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2007,9]]}},"alternative-id":["10.12968\/hmed.2007.68.9.27175"],"URL":"https:\/\/doi.org\/10.12968\/hmed.2007.68.9.27175","relation":{},"ISSN":["1750-8460","1759-7390"],"issn-type":[{"value":"1750-8460","type":"print"},{"value":"1759-7390","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,9]]}}}