PMC3616067_01
(A) X-ray of the abdomen revealed an area of increased radiolucency within the pelvis, representing air in the expected location of the urinary bladder. (B) CT scan of the pelvis revealing gas accumulation in the wall and lumen of the urinary bladder.
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An abdominal radiography showed an accumulation of gas in the urinary bladder wall and lumen (Figure 1A). An abdominal computed tomography (CT) demonstrated bilateral hydronephrosis, air-fluid levels in the urinary bladder, and gas accumulation in the urinary bladder wall (Figure 1B).
Clinical course after admission.
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Although the white blood cell count did not increase, the CRP concentration increased (Figure 2).
CT scan of the chest; (A) At one week after the initiation of the treatment, a CT scan shows parenchymal consolidation in the posterior segment of right upper lobe, and pleural effusion. (B) At two weeks after the initiation of the treatment, a CT scan shows bilateral small parenchymal consolidation with cavitations and small nodules. The crisis of the pulmonary tuberculosis was diagnosed.
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Antibiotics were administered for another week because aspiration pneumonia was suspected from the results of a chest CT scan (Figure 3A). TB after positive results of a TB polymerase chain reaction examination of the sputum were obtained and from the radiographic findings of the reexamined chest CT scan (Figure 3B). The patient received anti-TB therapy for two months, and he left the hospital in an improved condition.