Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Emphysematous Cystitis with Venous Bubbles
Eiji KARASHIMAJun-ichi EJIMAHirofumi NAKAMURAAkihiro KOIKETakeo KANEKOIchiro OHMURA
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JOURNALS OPEN ACCESS

2005 Volume 44 Issue 6 Pages 590-592

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Abstract

An 86-year-old nondiabetic woman with an episode of transient ischemic attack two days earlier was referred to our hospital. She had a history of neurogenic bladder and chronic atrial fibrillation and had been anuric for two days. Bubbles were detected by echocardiography in the right atrium, right ventricle, and inferior vena cava. Computed tomography revealed gas accumulation in the wall and lumen of the bladder. She recovered after urinary drainage and antibiotic therapy, and bubbles were no longer detected. It was suspected that bacterial injury of the bladder wall and high intravesical pressure led gas to enter the venous system.

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© 2005 by The Japanese Society of Internal Medicine
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