Presentation
Diabetic patient, presented with symptoms of urinary tract infection.
Patient Data
Age: 65 years
Gender: Female
From the case:
Perforated emphysematous cystitis
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There is an intraluminal and intramural gas of the urinary bladder. Extra-vesical gas is also noted in the subperitoneal space on the right, indicating probably a perforated bladder wall.
From the case:
Perforated emphysematous cystitis
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Annotaed images:
- red arrow; extra-vesical gas in the subperitoneal space
- yellow arrow: probable site of perforation of the bladder wall
Case Discussion
CT features most consistent with perforated emphysematous cystitis. Diabetes mellitus is considered the commonest predisposing factor which may be present in ~50% of cases.