article · Radiology Case Reports
Emphysematous infections of the urinary tract are rare but life-threatening conditions, most commonly affecting diabetic and immunocompromised patients. We report a case of a 55-year-old male with uncontrolled type 2 diabetes and chronic alcoholism who presented in septic shock. CT imaging revealed emphysematous pyelonephritis, emphysematous cystitis, a pelvic abscess in the recto-vesical pouch, and bilateral periurethral prostatic abscesses. The case illustrates the importance of early imaging, prompt diagnosis, and multidisciplinary management in preventing fatal outcomes.
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DOI: 10.1016/j.radcr.2026.02.044
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