Genitourinary Tract Gas: Imaging Evaluation

Ronald C. Joseph, Marco A. Amendola, Maria E. Artze, Javier Casillas, S. Zafar H. Jafri, Pamela R. Dickson, Gaston Morillo

Research output: Contribution to journalArticle

78 Scopus citations

Abstract

Gas-forming infections of the genitourinary tract may manifest as life-threatening conditions, often requiring aggressive medical and surgical management. Accurate interpretation of the radiologic studies is essential for early and accurate diagnosis of gas within the renal parenchyma or collecting system, bladder, uterus, and scrotum. Three distinct entities are associated with renal or perirenal gas: emphysematous pyelonephritis, emphysematous pyelitis, and gas-forming perirenal abscess. Gas in the bladder may occur secondary to emphysematous cystitis or a vesicoenteric fistula and must be differentiated from air introduced by means of instrumentation. Uterine gas usually indicates an underlying infection or a neoplasm. Gas in the scrotum is most commonly due to an infectious process or bowel herniation into the scrotal sac. Before institution of a specific therapeutic regimen, an effort should be made to establish the exact location of gas in the genitourinary tract. Plain radiography, including tomography, and ultrasonography are useful screening modalities. Although in some cases urography, barium enema studies, and other contrast material-enhanced studies enable a diagnosis to be made, in many patients computed tomography is the definitive diagnostic technique.

Original languageEnglish (US)
Pages (from-to)295-308
Number of pages14
JournalRadiographics
Volume16
Issue number2
DOIs
StatePublished - Jan 1 1996

Keywords

  • Cystitis, 83.218
  • Genitourinary system, infection, 80.218
  • Kidney, abscess, 81.2111
  • Kidney, infection, 81.20, 81.218
  • Nephritis, 81.212, 81.218

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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  • Cite this

    Joseph, R. C., Amendola, M. A., Artze, M. E., Casillas, J., Jafri, S. Z. H., Dickson, P. R., & Morillo, G. (1996). Genitourinary Tract Gas: Imaging Evaluation. Radiographics, 16(2), 295-308. https://doi.org/10.1148/radiographics.16.2.8966288