A case of gangrenous cystitis in a 67-year-old woman is reported. Asso
ciated etiological factors include invasive recurrent carcinoma of the
cervix, radiotherapy and atherosclerosis. Primary infection was not a
feature. The patient was treated with antibiotics, bladder drainage a
nd total cystectomy with complete recovery. The etiology and managemen
t of this unusual condition are discussed.