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
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.