关键词: academic radiology complicated uti critical care and hospital medicine critical care and internal medicine education emphysema cystitis id critical care intensive care medicine pneumorrhachis severe sepsis trauma critical care

来  源:   DOI:10.7759/cureus.30401   PDF(Pubmed)

Abstract:
Emphysematous cystitis (EC) is a potentially life-threatening urinary tract infection (UTI) characterized by the presence of gas within the bladder wall and lumen. The extension of gas beyond the bladder wall is rare and indicative of severe disease. We present a case of septic shock secondary to EC with the extension of air through the paraspinal and psoas muscles and into the epidural space of the lumbar spinal canal. This finding of intraspinal air is a rare radiographic phenomenon known as pneumorrhachis (PR).
摘要:
气肿性膀胱炎(EC)是一种潜在的危及生命的尿路感染(UTI),其特征是膀胱壁和管腔内存在气体。气体超出膀胱壁的延伸是罕见的,表明严重的疾病。我们介绍了一例继发于EC的败血性休克,空气通过椎旁和腰大肌并进入腰椎管的硬膜外腔。脊柱内空气的这种发现是一种罕见的影像学现象,称为肺出血(PR)。
公众号