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Emphysematous cystitis with perforation in a non-diabetic patient
  1. S-Y Hu1,2,3,
  2. Y-T Tsan1,2
  1. 1
    Department of Emergency Medicine, Taichung Veterans General Hospital, Taiwan, Republic of China
  2. 2
    Chung Shan Medical University, Taiwan, Republic of China
  3. 3
    National Taichung Nursing College, Taiwan, Republic of China
  1. Dr S-Y Hu, No 160, Section 3, Chung-Kang Road, Taichung, Taiwan, Republic of China 00407; song9168{at}pie.com.tw

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An 82-year-old woman with a history of adenoid cystic carcinoma of the left lower lung, who had undergone surgery and radiotherapy in 1998, presented to our emergency department complaining of abdominal fullness for 1 day. Physical examination revealed tympanicity on percussion and tenderness over the lower abdomen. Laboratory evaluation revealed white blood cell counts (WBCs) 22 500 per cubic mm with 91.6% segmented neutrophils, haemoglobin 11.3 g/dl, blood urea nitrogen 15 mg/dl, creatinine 0.8 mg/dl, blood sugar 156 mg/dl, lactate 75.3 mg/dl (normal <12 mg/dl), and C reactive protein 11.7 mg/dl (normal <0.4 …

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