Emphysematous Hemorrhagic Cystitis Discovered During Laparoscopy for Suspected Bowel Perforation: A Case Report and Review of Diagnostic Strategies

Emphysematous hemorrhagic cystitis (EHC) represents an uncommon complicated urinary tract infection. The primary pathophysiology involves the inoculation of gas-producing bacteria or fungi in the bladder wall, leading to inflammation and ischemia. In this report, a case of EHC is presented, which was encountered in a 69-year-old male with multiple underlying comorbidities, highlighting the diagnostic challenges, clinical course, and management strategies employed. Through a review of the literature, the aim is to elucidate the patient presentation of EHC, emphasizing the importance of early recognition and multidisciplinary collaboration in optimizing patient outcomes. This case serves to contribute to the expanding body of knowledge surrounding this rare yet clinically significant condition, especially in at-risk populations.