Image in medicine
Emphysematous cystitis
Cistitis enfisematosa
Leticia Moreno Caballero
, Raquel Navas Campo, David Ibáñez Muñoz
Corresponding author
Servicio de Radiodiagnóstico, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
Read
1
Timeswas read the article
1
Total PDF
0
Total HTML
Share statistics
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." "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 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen médica</span>" "titulo" => "Cistitis enfisematosa" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "311" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Emphysematous cystitis" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 568 "Ancho" => 900 "Tamanyo" => 77892 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Leticia Moreno Caballero, Raquel Navas Campo, David Ibáñez Muñoz" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Leticia" "apellidos" => "Moreno Caballero" ] 1 => array:2 [ "nombre" => "Raquel" "apellidos" => "Navas Campo" ] 2 => array:2 [ "nombre" => "David" "apellidos" => "Ibáñez Muñoz" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020621004484" "doi" => "10.1016/j.medcle.2020.09.008" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621004484?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775320307545?idApp=UINPBA00004N" "url" => "/00257753/0000015700000006/v1_202109150540/S0025775320307545/v1_202109150540/es/main.assets" ] ] "itemAnterior" => array:19 [ "pii" => "S2387020621004435" "issn" => "23870206" "doi" => "10.1016/j.medcle.2020.09.006" "estado" => "S300" "fechaPublicacion" => "2021-09-24" "aid" => "5477" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2021;157:310" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "The ink test for scabies" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "310" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Prueba de la tinta en la escabiosis" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 532 "Ancho" => 1255 "Tamanyo" => 61517 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Nicolás Silvestre Torner, María Dorado Fernández, Sergio Tabbara Carrascosa, Jorge Román Sainz" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Nicolás Silvestre" "apellidos" => "Torner" ] 1 => array:2 [ "nombre" => "María" "apellidos" => "Dorado Fernández" ] 2 => array:2 [ "nombre" => "Sergio" "apellidos" => "Tabbara Carrascosa" ] 3 => array:2 [ "nombre" => "Jorge Román" "apellidos" => "Sainz" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775320307594" "doi" => "10.1016/j.medcli.2020.09.019" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775320307594?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621004435?idApp=UINPBA00004N" "url" => "/23870206/0000015700000006/v2_202201010922/S2387020621004435/v2_202201010922/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in medicine</span>" "titulo" => "Emphysematous cystitis" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "311" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Leticia Moreno Caballero, Raquel Navas Campo, David Ibáñez Muñoz" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Leticia" "apellidos" => "Moreno Caballero" "email" => array:1 [ 0 => "leticiamc92@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Raquel" "apellidos" => "Navas Campo" ] 2 => array:2 [ "nombre" => "David" "apellidos" => "Ibáñez Muñoz" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Radiodiagnóstico, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Cistitis enfisematosa" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 568 "Ancho" => 900 "Tamanyo" => 77892 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Emphysematous cystitis is characterised by the presence of gas in the urinary bladder wall and in the lumen, produced by bacterial fermentation. 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. Cistitis enfisematosa. Med Clin (Barc). 2021;157:311.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 659 "Ancho" => 600 "Tamanyo" => 47494 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 568 "Ancho" => 900 "Tamanyo" => 77892 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Fig. " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015700000006/v2_202201010922/S2387020621004484/v2_202201010922/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015700000006/v2_202201010922/S2387020621004484/v2_202201010922/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621004484?idApp=UINPBA00004N" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 0 | 1 | 1 |
