A 24-year-old nullipara woman presented at the National Obstetric Fistula Centre, Abakaliki with a history of faecaluria,
pneumaturia and haematuria of six years duration.
Patients usually present with dysuria, hematuria, suprapubic pain, and less frequently with
pneumaturia. Early diagnosis and treatment prevents more complicated conditions like bladder necrosis, emphysematous pyelonephritis, and/or urosepsis.
In conclusion, if a patient presents with persistent urinary infections, recurrent abdominal pain, and
pneumaturia, AVF should be kept in mind for diagnosis.
Crepitation in the lumbar region and
pneumaturia can be also observed.
She developed
pneumaturia accompanying the clinical features of UTI, and rapidly developed generalized abdominal pain with peritonism and progressive deterioration in her general condition.
Less frequent manifestations include microscopic hematuria, urinary retention, gastrointestinal symptoms (vomiting, diarrhea, tenesmus, bloody stool), urgency, incontinence, fever, skin rash,
pneumaturia, and nocturnal enuresis.
The most common clinical features are fever and abdominal pain along with dysuria, haematuria and
pneumaturia.
In addition, non-specific abdominal pain, nausea, vomiting, loss of conscious, shock, cost vertebral angle tenderness, dysuria, local crepitation and
pneumaturia are also seen.
It typically presents with
pneumaturia, hematuria, storage symptoms and abdominal pain with severe sepsis.
(21) Zuckerman and Desai reported that if in the postoperative period, fecal material in the nephrostomy tube, blood in the feces,
pneumaturia, nausea, ileus, vomiting, leukocytosis, fever, sepsis or peritonitis is noted then it should be associated with bowel injury.
Twenty-one days later the patient presented with fever associated with left back pain, hematuria with clots with intravesical
pneumaturia and diarrhea.
Emphysematous cystitis is rare, but potentially fatal if not treated properly.[sup.3] It presents similar to uncomplicated cystitis, which is characterized by dysuria, hematuria, abdominal pain, and urinary urgency and frequency with a pathogenic exception, but with the unique presence of
pneumaturia.[sup.5] Varied presentations exist, such as incidental diagnosis in asymptomatic patients during abdominal imaging, subcutaneous emphysema and/or severe sepsis.[sup.1]-[sup.4] Some patients do not recognize
pneumaturia, while others are unwilling to acknowledge the condition.