A case of emphysematous cystitis caused by mechanical stimulation of pelvic fracture nonunion
Emphysematous cystitis is a rare condition that develops due to tissue hyperglycemia and urinary tract infection by gas-producing bacteria. We report a case of emphysematous cystitis caused by mechanical stimulation of a pelvic fracture nonunion. An 80-year-old man was injured in a motorcycle accide...
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| Veröffentlicht in: | Trauma case reports 2024-06, Vol.51, p.100987, Article 100987 |
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| creator | Yamakawa, Yasuaki Masada, Yasutaka Ugawa, Ryo Komatsubara, Tadashi Numoto, Kunihiko Mastumoto, Toshiyuki |
| description | Emphysematous cystitis is a rare condition that develops due to tissue hyperglycemia and urinary tract infection by gas-producing bacteria. We report a case of emphysematous cystitis caused by mechanical stimulation of a pelvic fracture nonunion.
An 80-year-old man was injured in a motorcycle accident and diagnosed with pelvic fracture. Seven days later, he had high fever and computed tomography (CT) revealed gas in the hematoma around the pelvic fracture and the abscess. Therefore, infection following the pelvic fracture was diagnosed. Despite multiple operations and antibiotics treatment, malformation and nonunion of the pelvis occurred. One month after starting weight bearing, emphysema of the bladder wall adjacent to the pubic fracture were found and spread throughout the bladder wall. With stopping of weight bearing, antibiotics treatment and a urinary catheter, emphysema disappeared after 2 months.
It was considered that the pubic fracture fragment irritated the bladder wall due to weight bearing and emphysematous cystitis consequently developed. |
| doi_str_mv | 10.1016/j.tcr.2024.100987 |
| format | Article |
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An 80-year-old man was injured in a motorcycle accident and diagnosed with pelvic fracture. Seven days later, he had high fever and computed tomography (CT) revealed gas in the hematoma around the pelvic fracture and the abscess. Therefore, infection following the pelvic fracture was diagnosed. Despite multiple operations and antibiotics treatment, malformation and nonunion of the pelvis occurred. One month after starting weight bearing, emphysema of the bladder wall adjacent to the pubic fracture were found and spread throughout the bladder wall. With stopping of weight bearing, antibiotics treatment and a urinary catheter, emphysema disappeared after 2 months.
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An 80-year-old man was injured in a motorcycle accident and diagnosed with pelvic fracture. Seven days later, he had high fever and computed tomography (CT) revealed gas in the hematoma around the pelvic fracture and the abscess. Therefore, infection following the pelvic fracture was diagnosed. Despite multiple operations and antibiotics treatment, malformation and nonunion of the pelvis occurred. One month after starting weight bearing, emphysema of the bladder wall adjacent to the pubic fracture were found and spread throughout the bladder wall. With stopping of weight bearing, antibiotics treatment and a urinary catheter, emphysema disappeared after 2 months.
It was considered that the pubic fracture fragment irritated the bladder wall due to weight bearing and emphysematous cystitis consequently developed.</description><subject>Case Report</subject><subject>Complications</subject><subject>Diabetes mellitus</subject><subject>Emphysematous cystitis</subject><subject>Pelvic fracture</subject><subject>Urinary tract infections</subject><issn>2352-6440</issn><issn>2352-6440</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kN1qGzEQhUVJqUOSB8hN0AvYHf2s5CUXxZikLRh601wWoZ2drWX2x0i7Br99ZZwa96ZXM8OZc4b5GHsUsBAgzOfdYsS4kCB1nqFc2g_sVqpCzo3WcHPVz9hDSjsAEIWRUsAnNlPLQhRa2Vv2a8XRJ-JDw6nbb4-JOj8OU-J4TGMYQ278lKjm1ZF3hFvfB_Qtz1o3tX4MQ3-y7qk9BORN9DhOkXg_9FOftXv2sfFtoof3esfeXl9-rr_NNz--fl-vNnNUSts5FaK0UAI2UhMKi5IqiWppwFtVCWuEBiBFBWhdmbImtALBotFkjDJS3bEv59z9VHVUI_Vj9K3bx9D5eHSDD-5fpQ9b93s4OAFlAWZZ5ARxTsA4pBSpuZgFuBNvt3OZtzvxdmfe2fN0ffXi-Es3LzyfFyj_fggUXcJAPVIdIuHo6iH8J_4PGFqSJA</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Yamakawa, Yasuaki</creator><creator>Masada, Yasutaka</creator><creator>Ugawa, Ryo</creator><creator>Komatsubara, Tadashi</creator><creator>Numoto, Kunihiko</creator><creator>Mastumoto, Toshiyuki</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20240601</creationdate><title>A case of emphysematous cystitis caused by mechanical stimulation of pelvic fracture nonunion</title><author>Yamakawa, Yasuaki ; Masada, Yasutaka ; Ugawa, Ryo ; Komatsubara, Tadashi ; Numoto, Kunihiko ; Mastumoto, Toshiyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3347-e5197090cf24ec17c2eb2c3860a73b1761400e3e5044b69dec71c07c64e663623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Case Report</topic><topic>Complications</topic><topic>Diabetes mellitus</topic><topic>Emphysematous cystitis</topic><topic>Pelvic fracture</topic><topic>Urinary tract infections</topic><toplevel>online_resources</toplevel><creatorcontrib>Yamakawa, Yasuaki</creatorcontrib><creatorcontrib>Masada, Yasutaka</creatorcontrib><creatorcontrib>Ugawa, Ryo</creatorcontrib><creatorcontrib>Komatsubara, Tadashi</creatorcontrib><creatorcontrib>Numoto, Kunihiko</creatorcontrib><creatorcontrib>Mastumoto, Toshiyuki</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Trauma case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamakawa, Yasuaki</au><au>Masada, Yasutaka</au><au>Ugawa, Ryo</au><au>Komatsubara, Tadashi</au><au>Numoto, Kunihiko</au><au>Mastumoto, Toshiyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of emphysematous cystitis caused by mechanical stimulation of pelvic fracture nonunion</atitle><jtitle>Trauma case reports</jtitle><addtitle>Trauma Case Rep</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>51</volume><spage>100987</spage><pages>100987-</pages><artnum>100987</artnum><issn>2352-6440</issn><eissn>2352-6440</eissn><abstract>Emphysematous cystitis is a rare condition that develops due to tissue hyperglycemia and urinary tract infection by gas-producing bacteria. We report a case of emphysematous cystitis caused by mechanical stimulation of a pelvic fracture nonunion.
An 80-year-old man was injured in a motorcycle accident and diagnosed with pelvic fracture. Seven days later, he had high fever and computed tomography (CT) revealed gas in the hematoma around the pelvic fracture and the abscess. Therefore, infection following the pelvic fracture was diagnosed. Despite multiple operations and antibiotics treatment, malformation and nonunion of the pelvis occurred. One month after starting weight bearing, emphysema of the bladder wall adjacent to the pubic fracture were found and spread throughout the bladder wall. With stopping of weight bearing, antibiotics treatment and a urinary catheter, emphysema disappeared after 2 months.
It was considered that the pubic fracture fragment irritated the bladder wall due to weight bearing and emphysematous cystitis consequently developed.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>38515437</pmid><doi>10.1016/j.tcr.2024.100987</doi><oa>free_for_read</oa></addata></record> |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Case Report Complications Diabetes mellitus Emphysematous cystitis Pelvic fracture Urinary tract infections |
| title | A case of emphysematous cystitis caused by mechanical stimulation of pelvic fracture nonunion |
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