PMC9287137_01
CT bilateral lower extremity with IV contrast revealed fluid collections and osseous erosions at pubis symphysis concerning for osteomyelitis, as well as bilateral extension into surrounding musculature concerning for pyomyositis.
gr1.jpg
PMC9287137_01_gr1.jpg
fig0005
Computerized tomography (CT) bilateral lower extremities with IV contrast revealed new peripherally enhancing, irregular, loculated, fluid density collections seen at the symphysis pubis with osseous erosions of the bilateral symphyseal bodies compatible with the diagnosis of osteomyelitis, with the fluid densities extending into bilateral pectineus, obturator, left adductor longus, and left adductor magnus muscles consistent with pyomyositis (Fig. 1).
CT cystogram with suspected extravasation indicating fistulization between the suprapubic catheter tract/bladder and the loculated air and fluid collection along the anterior pubic symphysis.
gr2.jpg
PMC9287137_01_gr2.jpg
fig0010
This study revealed fistulization between the suprapubic catheter tract/bladder and the loculated air and fluid collection along the anterior pubic symphysis (Fig. 2).