Emphysematous Cystitis with Bladder Mass caused by Colovesical Fistula: A Rare Case Report


  • Yosi Rizal Department of Urology Ulin General Hospital Banjarmasin
  • Eka Yudha Rahman Department of Urology Ulin General Hospital Banjarmasin




Emphysematous cystitis, pneumaturia


Emphysematous cystitis (EC) is a rare manifestation of a complicated urinary tract infection, and its pathognomonic feature is a gas appearance inside the bladder wall and lumen. Emphysematous cystitis with bladder mass is an extremely rare finding. In this case study, a 59-year-old female presented with dysuria and pneumaturia for two months before admission. Following history taking and physical examination, a CT scan was performed to establish the diagnosis, which revealed thickening bladder wall with free gas appearance, impressing emphysematous cystitis. Urine culture showed no bacterial growth, cystoscopy revealed posterosuperior bladder mass, a biopsy was done followed by fulguration of the bladder and showed no malignancy, and MRI implied emphysematous cystitis with bladder dome adhesions of colon mass with colovesical fistula. After resection of colon anastomosis, colitis was found as the etiology of the colovesical fistula. An accurate diagnosis of the disease and correct treatment would result in a good prognosis and outcome.


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Amano M and Shimizu T. Emphysematous Cystitis: A Review of the Literature. Internal Medicine. 2014; 53(2): 79–82.

Eken A and Alma E. Emphysematous Cystitis: The Role of CT Imaging and Appropriate Treatment. Canadian Urological Association Journal. 2013; 7(11–12): E754-E756.

Mukendi AM. Emphysematous Cystitis: A Case Report and Literature Review. Clinical Case Reports. 2020; 8(9): 1686-1688.

Parmar KM, Sharma G, Rai T. Urinary Bladder Mass with Emphysematous Cystitis: Double Whammy. BMJ Case Rep. 2019; 12(6): 1–2.

Hale NE and Tierney JP. Emphysematous Cystitis. Journal of Osteopathic Medicine. 2011; 111(11): 645-645.

De Baets K, Baert J, Coene L, Claessens M, Hente R, and Tailly G. Emphysematous Cystitis: Report of an Atypical Case. Case Reports in Urology. 2011; 2011: 1–5.

Adeyemi OA and Flaherty JP. Emphysematous Cystitis. Cureus. 2020; 12(11): 1-4.

Tonolini M and Ippolito S. Cross-Sectional Imaging of Complicated Urinary Infections Affecting the Lower Tract and Male Genital Organs. Insights Into Imaging. 2016; 7(5): 689–711.

Ouraghi A, El Houmaidi A, Mhanna T, et al. Emphysematous Cystitis Complicated by Bladder Rupture: A Paraplegic Patient Case. Pan Africa Medical Journal Clinical Medicine. 2020; 3(113): 1–5.

Golabek T, Szymanska A, Szopinski T, et al. Enterovesical fistulae: Aetiology, Imaging, and Management. Gastroenterology Research and Practice. 2013; 2013: 1-8.

Randall D, Tittle V, Wright G, and Blanshard C. Crohn's Disease and Enterovesical Fistulae: Common Things are Common. British Journal of Hospital Medicine. 2010; 71(9): 530–531.

Gianluca G, Graziella DG, Veronica DM, et al. Crohn's Disease Imaging: A Review. Gastroenterology Research and Practice. 2012; 2012; 1-15.






Case Report