Emphysematous cystitis as a potential marker of severe Crohn's disease - BMC Gastroenterology - BMC Gastroenterology
A 43 year-old female presented to a community hospital in Yukon, Canada with a 2-month history of bloody diarrhea. On admission a plain radiograph identified a large mediastinal mass. She was subsequently transferred to Vancouver General Hospital (VGH) under the care of Thoracic Surgery. Prior to her transfer she received oral steroids and 5-ASA formulations for 2 days as her initial stool cultures were negative and a diagnosis of inflammatory bowel disease (IBD) was suspected. The patient was an immigrant from Taiwan and had previous episodes of bloody diarrhea with associated abdominal discomfort and fatigue. Her prior symptoms never lasted for more than a month and the most recent episode was 18 months ago when she was still living in Taiwan. She had no previous investigation for her symptoms. She presented to the hospital due to the fact that her symptoms had persisted for 2 months over which she lost 10 kg and developed significant peri