Unusual case of emphysematous cystitis mimicking intestinal perforation: A case report

Figure 1 First abdominopelvic computed tomography results. A: Axial image; B: Coronal image. Both images show the pre- and peri-vesical areas along with pneumatosis intestinalis near the pelvic small bowel loop.

Figure 2 Second abdominopelvic computed tomography results. A: Abdominopelvic computed tomography revealed free air in the mesentery of the ascending colon, proximate to the middle colic artery (orange arrow); B: The enhancement of the small intestine wall in the pelvic cavity seemed to be reduced.

Figure 3 Results after treatment. A: After antibiotic treatment, the computed tomography scan showed the disappearance of the air-bubble in the abdominal cavity, and a near-complete resolution of the air in the bladder wall; B and C: The small bowel series performed on the 12^th hospital day showed no evidence of perforation.