NEJM临床医学影像气肿性膀胱炎

　

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ImagesinClinicalMedicineEmphysematousCystitisKai-YiTzou,M.D.Yi-TeChiang,M.D.NEnglJMed;:

A72-year-oldwomanwithpoorlycontrolledhyperlipidemiaanddiabetespresentedtotheemergencydepartmentwitha5-dayhistoryoflowerabdominalpain.Shealsohadfeverandreportednauseaandvomiting.Physicalexaminationrevealedlowerabdominaltenderness.Bloodtestsrevealedleukocytosisassociatedwithaleftshift(neutrophilcountof11,percubicmillimeter)andelevationofthelevelsofC-reactiveprotein(24.0mgperdeciliter)andglucose(mgperdeciliter[41mmolperliter]).Aplainradiographofthekidneys,ureters,andbladdershowedairsurroundingthebladder(PanelA,arrows).Anabdominal







































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