The Clinical Picture

Abdominal pain under immunosuppressive conditions

Takayo Ota, MD, PhD, Masanobu Nakano, MSc, Noriko Tanaka, MD, Tomohiro Suzumura, MD, PhD, Nozomi Miyatake, BPharm, Yoshikazu Hasegawa, MD, PhD, Tomohiro Ozaki, MD, Hiroshi Tsukuda, MD and Masahiro Fukuoka, MD, PhD
Cleveland Clinic Journal of Medicine December 2016, 83 (12) 874-875; DOI: https://doi.org/10.3949/ccjm.83a.15143

Article Figures & Data

Figures

  • FIGURE 1
    FIGURE 1

    Abdominal computed tomography showed emphysematous lesions in the bladder wall and in several other organs in the abdomen, along with an abscess.(A) An image obtained with mediastinal-window settings showed multiple air bubbles with emphysematous changes in the right posterior wall of the urinary bladder (arrow). (B) An image obtained with lung-window settings showed intraperitoneal air (arrows). (C) An image obtained with bone settings showed intraperitoneal and retroperitoneal air (arrows). (D) An image obtained with bone settings showed air in the left femur that had spread around the obturator muscle (arrows). (E) An image obtained with mediastinal-window settings showed an abscess in the psoas major muscle with air (arrows), and another (F) showed the abscess extending to the ala of the ilium.

  • FIGURE 2
    FIGURE 2

    After cessation of meropenem, computed tomography with mediastinal window settings showed enlargement of the abscess in the psoas major muscle (A, arrowheads) and in front of the ilium (B, arrowheads).

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