Presentation
History of total abdominal hysterectomy and bilateral salpingo-oophorectomy due to ovarian cancer. Adjuvant chemotherapy for three months.
Patient Data
Air densities are seen in the urinary bladder wall, accompanied by air-fluid level within, inferring emphysematous cystitis.
The uterus and ovaries, the gallbladder and the spleen, are not seen at anatomical locations due to previous resection.
The hepatic attenuation value is less than the spleen's, suggesting fatty liver.
A few small ill-defined hypodense lesions are seen in the 6th hepatic segment.
Case Discussion
Gas within the bladder wall is virtually always due to emphysematous cystitis, a rare condition usually seen in patients with diabetes mellitus or immunocompromised states. Symptoms and signs are similar to those of non-emphysematous cystitis, but potential complications include ureteric and renal parenchymal extension and bladder rupture with sepsis and peritonitis.
Unable to process the form. Check for errors and try again.