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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Imaging Studies III: Computed Tomography01:27

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DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
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IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
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Related Experiment Video

Updated: Apr 30, 2026

Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
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Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography

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Emphysematous Cystitis. Case report and imaging features.

Ioana Andreea Gheonea1, Zoia Stoica1, Simona Bondari1

  • 1Radiology and Imaging Department, University of Medicine and Pharmacy Craiova.

Current Health Sciences Journal
|April 30, 2014
PubMed
Summary

Emphysematous cystitis, a rare bladder infection, involves gas in bladder tissues. This case highlights a diabetic patient with Escherichia coli infection, emphasizing prompt diagnosis and treatment.

Keywords:
computer tomographyemphysematous cystitisplain radiography

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Area of Science:

  • Urology
  • Infectious Diseases
  • Radiology

Background:

  • Emphysematous cystitis is a rare bacterial bladder infection characterized by gas in bladder tissues.
  • Key risk factors include diabetes mellitus, dysuria, and neurogenic bladder, with a higher prevalence in females.

Observation:

  • A 64-year-old female with type 2 diabetes presented with a month of fever, abdominal pain, and oliguria.
  • Abdominal CT revealed gas within the bladder wall and lumen, thickening of the bladder wall, and an air-fluid level.

Findings:

  • Laboratory tests indicated anemia and leukocytosis.
  • Urine culture confirmed significant growth of Escherichia coli (E. coli).

Implications:

  • The case underscores the importance of considering emphysematous cystitis in patients with risk factors presenting with suggestive symptoms.
  • Prompt diagnosis via imaging and urine culture, followed by targeted antibiotic therapy, is crucial for effective management of this uncommon condition.