A Rare Coexistenceof Gangrenous Cystitis and Necrotizing Fasciitis
PDF
Cite
Share
Request
Case Report
P: 0-0

A Rare Coexistenceof Gangrenous Cystitis and Necrotizing Fasciitis

J Urol Surg 0;0(0):0-0
1. Mersin University Hospital, Clinic of Urology, Mersin, Turkiye
2. Mersin University Hospital, Clinic of Pathology, Mersin, Turkiye
No information available.
No information available
Received Date: 07.11.2023
Accepted Date: 15.01.2024
PDF
Cite
Share
Request

ABSTRACT

Gangrenous cystitis is an exceedingly uncommon diagnosis characterized by bladder mucosa and submucosal necrosis. The presence of non-specific symptoms and signs complicates the diagnostic process. Necrotizing fasciitis is a rare infection affecting the deep soft tissues, causing progressive destruction of the muscle fascia and rapid systemic spread. This study aimed to elucidate the atypical presentation of rare gangrenous cystitis in the literature, highlighting its potential to lead to necrotizing fasciitis. An 82-year-old female patient was admitted with abdominal and pelvic pain complaints. Computed tomography of the lower abdomen revealed free air-fluid densities in the pelvic region, raising the suspicion of intestinal perforation. Exploratory laparotomy diagnosed the patient with gangrenous cystitis and necrotizing fasciitis. Pathological examination confirmed the presence of necrosis. In patients presenting with acute abdominal symptoms, when free air-fluid levels are observed in imaging studies of the pelvis, rare diagnoses such as gangrenous cystitis should not be overlooked, even if the patient’s history indicates anuria.

Keywords: Gangrenous cystitis, necrotizing cystitis, necrotizing fasciitis, acute abdomen, peritonitis

References

2024 ©️ Galenos Publishing House