FDG PET/CT 所见的气肿性膀胱炎不常见病例。

Unusual case of emphysematous cystitis seen on FDG PET/CT.

机构信息

Department of Radiation Oncology, Emory University, Atlanta, GA, USA.

出版信息

Clin Nucl Med. 2013 Mar;38(3):e143-5. doi: 10.1097/RLU.0b013e318263927a.

Abstract

Emphysematous cystitis is a rare condition requiring immediate aggressive medical attention. Here, we describe a very unusual case of emphysematous cystitis seen on FDG PET/CT. This finding was discovered in an 84-year-old man undergoing FDG PET/CT to monitor a known diagnosis of IgG4-related nodular sclerosis. Images revealed gas within the bladder wall and an anterior gas-filled bladder diverticulum. The patient subsequently developed sepsis with cultures revealing Escherichia coli. This case highlights the importance of recognizing this finding on varied imaging modalities, as life-threatening complications may arise from this condition.

摘要

气肿性膀胱炎是一种罕见的疾病，需要立即进行积极的医疗干预。在这里，我们描述了一例在 FDG PET/CT 上观察到的非常不寻常的气肿性膀胱炎病例。该发现见于一位 84 岁男性，其正在接受 FDG PET/CT 检查以监测已知的 IgG4 相关结节性硬化症的诊断。图像显示膀胱壁内有气体和一个前充气性膀胱憩室。患者随后发生脓毒症，培养显示大肠埃希菌。该病例强调了在各种成像方式上识别这种表现的重要性，因为这种情况可能会引发危及生命的并发症。