CT Findings May Signal Bladder Fungal Balls

Case report suggests imaging features could help physicians recognize obstructive fungal masses in high-risk patients

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CT findings of irregular, gas-containing bladder nodules may indicate bladder fungal balls, a rare cause of urinary obstruction.
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A 66-year-old patient with diabetes and hypertension presented with urinary symptoms and passed soft masses, later identified as fungal.
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CT imaging revealed multiple irregular nodules in the bladder with intraluminal gas, consistent with emphysematous cystitis.
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Antifungal therapy alone was insufficient, as repeat CT showed nodule enlargement and bladder outlet obstruction.
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Management typically requires antifungal therapy combined with procedural removal, although the patient declined intervention.

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