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A rare cause for recurrent cystitis

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Q1: What are the findings and what is the diagnosis?

Potts spine affecting the T12, L1 vertebra, a right psoas abscess, and air in the bladder. Disseminated tuberculosis involving the spine and the bladder. Patient confirmed pneumaturia and faecaluria on two occasions. Intravenous urethrogram was normal.

Q2: What does the micturating urethrogram show? (fig 2)

There is reflux of contrast into the small bowel.

Q3: What is the final diagnosis?

Disseminated tuberculosis, Potts spine, tuberculous lymphadenitis, entero vesical fistula. …

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