To highlight the CT imaging characteristics that may indicate the presence of bladder fungal balls, a rare cause of urinary obstruction, particularly in diabetic patients.
Key Findings:
CT showed multiple irregular, gas-containing nodules in the bladder, consistent with emphysematous cystitis.
Antifungal therapy alone was insufficient to resolve the obstructing masses, leading to near-complete filling of the bladder lumen.
Interpretation:
CT findings of irregular bladder nodules with gas should raise strong suspicion for bladder fungal balls, especially in diabetic patients.
Limitations:
Single-patient design limits generalizability.
Absence of definitive intervention hampers assessment of treatment effectiveness.
Lack of long-term follow-up.
Conclusion:
CT imaging can aid in the identification of bladder fungal balls, but management typically requires both antifungal therapy and procedural intervention, such as cystoscopic evacuation.
