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E2878. Genitourinary Tract Infections and Inflammatory Conditions: Spectrum of Imaging Features, Pitfalls and Mimics
Authors
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Ayman Gaballah;
University of Missouri
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Nour Hassouna;
University of Missouri
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Mohamed Ibrahim;
Mayo Clinic - Rochester
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Eslam Adel Shehata Mohamed;
University of Missouri
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Mohamed Ebada;
University of Missouri
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Amr Abdelaziz;
University of Missouri
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Amr Shabana;
University of Missouri
Background
Genitourinary tract infections and inflammatory conditions form a broad spectrum of disease entities, some of which has unique imaging features. The spectrum of imaging features of these entities, and imaging pitfalls and mimics will be discussed.
Educational Goals / Teaching Points
Illustrate the etiology, pathogenesis, and clinical presentation of genitourinary (GU) tract infections. Review the appropriate imaging workup and imaging features of GU infections. Discuss mimics and pitfalls of GU infections Highlight management options.
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Introduction. Anatomic illustrations. Classification of genitourinary tract infections. Urinary tract infections including upper urinary tract - kidney and ureter including focal/diffuse pyelonephritis, emphysematous yelitis/pyelonephritis, renal/perinephric abscesses, hydronephrosis and pyonephrosis, xanthogranulomatous pyelonephritis, parasitic infection - hydatid infection, other infections such as T.B, ureteritis cystica. Lower urinary tract - urinary bladder and urethra including cystitis, emphysematous cystitis, diverticulitis of urinary bladder/urethra, parasitic infection – Schistosomiasis, fungal infections -actinomycosis, candidiasis, cystitis cystica, radiation and chemotherapy cystitis, urachal inflammatory and infectious conditions. Genital infections including female genital system (pelvic inflammatory disease, e.g., cervicitis, endometritis, pyosalpinx, etc., tubo-ovarian abscess, pelvic actinomycosis, necrotizing fasciitis, other rare infections). Male genital system including infectious and granulomatous prostatitis, prostatic abscess, epididymo-orchitis and abscess, scrotal wall cellulitis, abscess, fournier gangrene, sexually transmitted infections. Predisposing factors and complications of GU infection. Imaging features and case presentation. Mimics and pitfalls. Management options.
Conclusion
Genitourinary tract infections and inflammatory conditions are common disease entities with some unique imaging features. Radiologists need to be familiar with these imaging findings, their mimics and imaging pitfalls.
