Pneumaturia ICD-10, Definition, Symptoms, Causes, Treatment

Pneumaturia is the passage of gas into the urine. In patients who did not have a recent urinary tract procedure or urethral catheterization, it is almost always due to the fistula between the intestine and the bladder. Common causes include diverticulitis, colon carcinoma, regional enteritis (Crohn's disease). In rare cases, diabetic patients may have gas infections due to carbon dioxide formation from fermentation of high urinary sugar concentrations.

First of all, there may be a rectovesical fistula. In these cases, there is usually presence of fecal matter in urine. Usually, it results from ruptured diverticulitis, ruptured appendix, or tumor that forms pelvic abscess gradually and spreads into the walls of bladder. Second, there may be a urinary tract infection with gas generating micro-organisms e.g E. coli.

Pus formation and bloody discharge are common in both types so further diagnosis is much necessary to make it confirm. The fistula can be diagnosed by intravenous pyelogram, cystoscopy or barium enema. Urine culture can show presence of micro-organisms in cases there is no fistula.

Though, it is a rare kind of disorder in clinical practice but it may lead to irreversible complications so, prompt treatment is much necessary to avoid secondary problems and in some cases surgical intervention is the only option left behind.

Pneumaturia ICD-10, Definition, Symptoms, Causes, Treatment

Pneumaturia Symptoms

Symptoms of pneumaturia are not same in all cases but following symptoms should be kept under consideration as far as pneumaturia is concerned.
  • Pus like discharge
  • Pain during urination
  • Presence of fecal matter in urine
  • Presence of air or bubbles in urine
  • Changes in the color of urine
  • Presence of blood in the urine
  • Bladder pain

Pneumaturia Causes

There are number of causes of pneumaturia that must be ruled out before starting any kind of therapeutic treatment. Fistula between the intestine and the bladder is at the top of the list in pneumaturia. Other causes that might be the main the main culprit are colon carcinoma, ruptured diverticulitis, diabetes, E.coli infection, and accidental injury or trauma.

Pneumaturia Treatment

Treatment of pneumaturia is depended upon the root cause. If patient is having such disorder due to infection then therapy of broad spectrum antibiotics is the mainstay to resolve this problem. Most commonly used antibiotics in UTI are quinolones, macrolides and cephalosporins.

Similarly, if it is happening due to any structural defect associated with trauma, injury etc then surgical intervention is mainstay to eradicate it completely. This options has some limitations as well e.g in case carcinoma cancer staging is very critical point. Early diagnosis makes it more possible to eliminate completely while later stages become resistant and chances of survival are less.

Pneumaturia ICD-10

Following code is used for Pneumaturia in ICD-10

R39.89--Other symptoms and signs involving the genitourinary system--Billable
Pneumaturia ICD-10, Definition, Symptoms, Causes, Treatment Pneumaturia ICD-10, Definition, Symptoms, Causes, Treatment Reviewed by Simon Albert on December 02, 2019 Rating: 5
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