Table I.

Comparison of different recent cases of bladder gangrene and their management.

Cases	Age/sex	Germ/ Urine culture	Antibiotic therapy	Surgical treatment	Pathology	Outcome	Medical history
Mohamed Hafedh Saadi 2021 [6]	62 years old	unmentioned	Empiric antibiotic	Bilatéral nephrostomies Excision of all necrotic tissue Then palliative Management by turb	Massive transmission cell carcinoma with minimal micropapillary differentiation	The patient did well without complication post opératively	Bladder tumor 2 months before
Antonella De Rosa 2011 [7]	42 years old man	E coli	Broad spectrum antibiotics	Partial cystectomy	Gangrenous cystis	Unmentioned	Chronic smoker
Sonia Ketari 2013 [8]	36 years old man	E coli	Ciprofloxacin Cefotaxime Metronidazole During two weeks	Debridemnt and Partial cystectomy was performed	Necrosis of the bladder mucosa and the smooth muscle layers	Posthoperative follow-up	Chronic alcoholism
Konstantinos Katoulas 2018 [9]	63 year old woman	Urine culture was negative	Ciprofloxacine 800 mg/day Amikacine 100 mg/day	Partial cystectomy+ Suprapubic catheter	Extensive necrosis of the entire bladder wall	Multiple organ dysfunction and septic shock	Type 2 diabetes Cirrhosis
Ramanitharan Manikandan 2019 [10]	24 year old primigravida	Unmentioned	Unmentioned	Neobladder reconstruction which was anastomose to small native bladder	Unmentioned	The postoperative course was uneventful	She had undergone vaginal delivery 20 days back which had prolong-ed duration of labor
Our case (2023)	86 year old man	Morganella morganii	Double antibiotic therapy (Rocéphine +1750 mg of Amiklin)	Radical cystectomy	The Bladder wall is the site of panparietal of necrosis the opposite dome and the posterior surface associated with a dense polymorphic supprative inflammatory infiltrate.	Favorable postoperative evolution	History of peripheral arterial disease