[Emphysematous cystitis: Report of 2 cases with different outcomes].

espanolOBJETIVO: Reportar dos nuevos casos de cistitis enfisematosa, una patologia poco frecuente pero potencialmente grave. METODO: Analisis de dos casos tratados en nuestro centro de diferente forma y revision de la literatura. RESULTADO: El primer paciente dado lo avanzado del caso tuvo que ser sometido a una cistectomia radical urgente; el segundo, se beneficio de un tratamiento conservador y novedoso, al ser sometido a dos sesiones de oxigenoterapia hiperbarica. CONCLUSIONES: Es importante un diagnostico precoz de esta patologia. La oxigenoterapia hiperbarica puede ser beneficiosa debido a la mejora en la oxigenacion de los tejidos afectos por la enfermedad. EnglishOBJECTIVE: To report two cases of emphysematous cystitis, a rare, potentially serious disease. METHODS: Analysis of two different cases treated in our center and review of the existing literature. RESULTS: One patient underwent emergency surgery (radical cystectomy) due to the advanced stage of the disease. The second patient, whose was in an initial stage, benefited from a new treatment, consisting of hyperbaric oxygen and wide spectrum antibiotics. CONCLUSIONS: Early diagnosis is the cornerstone of the conservative management of the disease. Hyperbaric oxygen therapy may be beneficial due to the improvement in oxygenation of the tissues affected by the disease.