Gas Where It Shouldn't Be! Imaging Spectrum of Emphysematous Infections in the Abdomen and Pelvis

AJR Am J Roentgenol. 2021 Mar;216(3):812-823. doi: 10.2214/AJR.20.23545. Epub 2021 Jan 13.

Abstract

OBJECTIVE. The purpose of this article is to review the spectrum, etiopathogenesis, clinical presentation, imaging features, differential diagnoses, and management of emphysematous infections of the abdomen and pelvis. CONCLUSION. Emphysematous infections are associated with high morbidity and mortality and thus need urgent medical and surgical interventions. CT is the most sensitive modality to detect gas; CT provides definitive diagnosis in most cases and can depict the extent of involvement.

Keywords: abdomen and pelvis; emphysematous infections; gas; imaging.

Publication types

  • Review

MeSH terms

  • Abdominal Wall / diagnostic imaging
  • Abdominal Wall / microbiology
  • Abscess / diagnostic imaging
  • Abscess / microbiology
  • Aortitis / diagnostic imaging
  • Aortitis / microbiology
  • Cystitis / diagnostic imaging
  • Cystitis / microbiology
  • Emphysema / diagnostic imaging*
  • Emphysema / microbiology
  • Emphysematous Cholecystitis / diagnostic imaging
  • Emphysematous Cholecystitis / microbiology
  • Female
  • Fournier Gangrene / diagnostic imaging
  • Fournier Gangrene / microbiology
  • Gas Gangrene / diagnostic imaging
  • Gas Gangrene / microbiology
  • Gases*
  • Gastritis / diagnostic imaging
  • Gastritis / microbiology
  • Hepatitis / diagnostic imaging
  • Hepatitis / microbiology
  • Humans
  • Male
  • Pancreatitis / diagnostic imaging
  • Pancreatitis / microbiology
  • Prostatic Diseases / diagnostic imaging
  • Prostatic Diseases / microbiology
  • Psoas Abscess / diagnostic imaging
  • Psoas Abscess / microbiology
  • Pyelitis / diagnostic imaging
  • Pyelitis / microbiology
  • Pyelonephritis / diagnostic imaging
  • Pyelonephritis / microbiology
  • Tomography, X-Ray Computed*
  • Uterine Diseases / diagnostic imaging
  • Uterine Diseases / microbiology

Substances

  • Gases