case_images: PMC7775556_01
case_images: Series of computed tomography (CT) images (A) 1 week, (B) 2 weeks, and (C) 3 weeks after the sling procedure. (A1,A2) The CT scans of the pelvis and thigh regions indicate that the pelvic floor and thigh root muscle cavities have multiple gas shadows (yellow arrows). (B1,B2) The CT scans of the pelvis and thigh for assessing the infection status. The green arrows indicate the location of the drainage tube. The location of the gas (yellow arrow). (C1,C2) The CT scans of the pelvis and thigh for assessing the infection status. The red arrows indicate the location of the corrected drainage tubes. The location of the gas (yellow arrow).
case_images: fsurg-07-600754-g0001.jpg
case_images: PMC7775556_01_fsurg-07-600754-g0001.jpg
case_images: F1
case_images: Diabetic ketoacidosis (DKA) and cellulitis (pelvic floor and right thigh) were diagnosed after a series of laboratory tests and imaging evaluations (Figure 1). An emergency computed tomography (CT) scan of the pelvis and thigh indicated multiple deep-tissue honeycomb-like gas shadow changes in the pelvic floor and bilateral thigh root muscle cavity (Figures 1, 2).
case_images: Magnetic resonance imaging (MRI) before and after tube drainage. (A) (Before drainage): (1) Infectious lesions observed in the right upper thigh skin and muscle group, right hip, right perineum, and pelvic floor muscle group accompanied by abscess in the right upper thigh muscle group and pelvic floor muscle group (gas shadow observed in the abscess); (2) Right lateral vaginal abscess; (3) The left lateral vaginal effusion shadow (yellow arrows). (B) (After drainage): no obvious abscess or gas observed in the upper part of the right thigh and the right pelvic floor muscle group (red arrows).
case_images: fsurg-07-600754-g0002.jpg
case_images: PMC7775556_01_fsurg-07-600754-g0002.jpg
case_images: F2
case_images: An emergency computed tomography (CT) scan of the pelvis and thigh indicated multiple deep-tissue honeycomb-like gas shadow changes in the pelvic floor and bilateral thigh root muscle cavity (Figures 1, 2).
case_images: Results of ultrasonography before and after the procedure and drainage. (A1,A2) (pre-operation):1. Bladder neck funnel formation; the bladder neck drop distance is 18 mm (d1-d2, bladder neck is slightly prolapsed). (B1-B4) (post-operation and at follow-up): the bladder neck drop distance is 7 mm (d3-d4, no prolapse in the bladder neck). The completed sling is in the position at the middle sub-urethra (yellow arrows). There is no funnel formation in the bladder neck.
case_images: fsurg-07-600754-g0003.jpg
case_images: PMC7775556_01_fsurg-07-600754-g0003.jpg
case_images: F3
case_images: The circumference of the right thigh was 3 cm larger than that of the left thigh at the same level (Figure 3). On ultrasound imaging of the pelvic floor, a corrected bladder neck funnel (3 mm above the reference line) was observed with a continuous shadow of the sling under the mid-urethral area, ~16 mm away from the internal orifice (Figure 3).