Emphysematous cystitis(EC) is a rare disease with infection of urinary bladder with gas forming organisms. We report a case report of 88 year old female with emphysematous cystitis, followed by literature review. This diabetic patient with hematuria and lower back pain demonstrated emphysematous cystitis on Computer tomography(CT) caused by Klebsiellapneumoniae and managed with antibiotic and bladder drainage. A review of literature of 142 cases was done to analyse the presentation, causative organism, outcome.

Keywords : Emphysematous , Cystitis , E Coli , Diabetes Mellitus.