In the upper CT image, in axial and coronal plane, it is plain to see homogeneus wall thickening, contracture and decreased functional volume of the bladder.
The lower shows the contracted bladder at máximum filling giving a groundshape apareance.
The CT belong to a 22 year old woman with frequent disuria and hematuria.
The diffrerential diagnosis: cititis due to tuberculosis, other infectious cistitis and transitional bladder carcinoma.
This case points out:
- The harmful effects of ketamine on the urinary tract.
- That a delayed diagnosis can result in irreversible renal tract damage requiring surgical intervention.
- The importance of interaction with patients in a radiological setting. In this case, no history of lower urinary tract infections or relevant data existed but an oriented interrogation revealed chronic ketamine abuse.