EURORAD ESR

Case 2956

Emphysematous cystitis

Author(s)
González F, Ruiz P, Landeras R, Piedra T, Juanco C
 
Patient
female, 71 year(s)
 
 
  • Figure 1
    Abdominal plain film

    Digital radiography of pelvis shows curvilinear areas of increased radiolucency in the region of the urinary bladder. Emphysematous cystitis was diagnosed based upon these findings.

     
    Area of Interest: unknown; Imaging Technique: Abdominal plain film;
     
     
  • Figure 2
    Unenhanced pelvic CT
     

    Helical unenhanced CT confirms the presence of gas dissecting the bladder wall. There was also intraluminal gas with a fluid-level.

     
    Area of Interest: unknown; Imaging Technique: Unenhanced pelvic CT;

    same as 2a.

     
    Area of Interest: unknown; Imaging Technique: Unenhanced pelvic CT;

    same as 2a.

     
    Area of Interest: unknown; Imaging Technique: Unenhanced pelvic CT;
     
     
  • Figure 3
    Digital cystography

    Plain digital film after filling the urinary bladder in a retrograde manner via a Foley catheter with diluted water-soluble iodinated contrast. Iodinated constrast remains into the bladder lumen without evidence of...

     
    Area of Interest: unknown; Imaging Technique: Digital cystography;
     
     
  • Figure 4
    CT cystography
     

    After retrograde filling of the bladder with iodinated contrast, CT confirms the presence of gas dissecting the bladder wall. There was no evidence of a bladder rupture.

     
    Area of Interest: unknown; Imaging Technique: CT cystography;

    same as 4a.

     
    Area of Interest: unknown; Imaging Technique: CT cystography;

    same as 4a.

     
    Area of Interest: unknown; Imaging Technique: CT cystography;
     
     
Digital radiography of pelvis shows curvilinear areas of increased radiolucency in the region of the urinary bladder. Emphysematous cystitis was diagnosed based upon these findings.
 
Helical unenhanced CT confirms the presence of gas dissecting the bladder wall. There was also intraluminal gas with a fluid-level.
 
same as 2a.
 
same as 2a.
 
Plain digital film after filling the urinary bladder in a retrograde manner via a Foley catheter with diluted water-soluble iodinated contrast. Iodinated constrast remains into the bladder lumen without evidence of bladder rupture.
 
After retrograde filling of the bladder with iodinated contrast, CT confirms the presence of gas dissecting the bladder wall. There was no evidence of a bladder rupture.
 
same as 4a.
 
same as 4a.
 
 
 
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