An unusual pelvis radiograph
BMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j2593 (Published 15 June 2017) Cite this as: BMJ 2017;357:j2593
- Yu Xi Terence Law, urology trainee1,
- Welras Long, medical student2,
- King Chien Joe Lee, consultant1
- 1National University Hospital, Singapore
- 2National University of Singapore, Singapore
- Correspondence to YXT Law terencelaw83{at}gmail.com
A 95 year old woman was admitted to hospital after a fall. She had sustained a hip fracture. She had Alzheimer’s disease, hypertension, and type 2 diabetes mellitus, for which she was taking metformin. A radiograph of the pelvis was obtained (fig 1⇓). Other than the hip fracture, what is the likely diagnosis?
Fig 1 Radiograph of the pelvis
Answer
Short answer
Right femoral neck fracture (incidental finding of emphysematous cystitis).
Discussion
The pelvic radiograph shows a ring of radiolucent gas with central mottled lucencies in the expected location of the bladder, suggestive of emphysematous cystitis (fig 2⇓). A right femoral neck …
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