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array:23 [ "pii" => "S2387020621004484" "issn" => "23870206" "doi" => "10.1016/j.medcle.2020.09.008" "estado" => "S300" "fechaPublicacion" => "2021-09-24" "aid" => "5472" "copyright" => "Elsevier España, S.L.U.. All rights reserved" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;157:311" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0025775320307545" "issn" => "00257753" "doi" => "10.1016/j.medcli.2020.09.016" "estado" => "S300" "fechaPublicacion" => "2021-09-24" "aid" => "5472" "copyright" => "Elsevier España, S.L.U." 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It is more common in diabetics and occurs with a higher incidence in women. The most common germs are <span class="elsevierStyleItalic">Escherichia coli, Enterobacter aerogenes and Clostridium</span>.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Dysuria, pyuria, bacteriuria, haematuria, glucosuria, and pneumaturia stand out as clinical findings.</p><p id="par0015" class="elsevierStylePara elsevierViewall">On a plain abdominal X-ray the gas may appear as a line of dense gas, limited by the bladder perimeter (arrows in <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), but computed tomography is the imaging technique that provides a highly sensitive evaluation of the location and distribution of the intramural gas (arrows in <a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), as well as the presence of intraluminal gas-fluid level (arrow heads in <a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A and C). Radiographically, its diagnosis is hampered by the presence of a fecalith (asterisks in <a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">The differential diagnosis includes iatrogenesis, patients with fistulas between the bladder and neighbouring structures, trauma, and cystic intestinal pneumatosis.</p><p id="par0025" class="elsevierStylePara elsevierViewall">It is a serious complication of a urinary tract infection that requires treatment with parenteral antibiotics, glucose control, hydration, and removal of bladder debris with a Foley catheter. Surgery is indicated in the event of progression to severe necrotizing cystitis.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0030" class="elsevierStylePara elsevierViewall">This work has not received any type of funding.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Conflict of interests" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Moreno Caballero L, Navas Campo R, Ibáñez Muñoz D. 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