case_images: PMC8033220_01
case_images: (a) Abdominal computed tomography axial scan showing gas in the spinal epidural space (bold red arrow) and left emphysematous pyelonephritis with gas in the pelvicalyceal system (dotted red arrow). (b) Axial computed tomography film showing the presence of gas in the intermuscular plane (bold yellow arrow) and in the epidural space around the spinal cord (bold red arrow)
case_images: IJU-37-97-g001.jpg
case_images: PMC8033220_01_IJU-37-97-g001.jpg
case_images: F1
case_images: After initial resuscitation, computed tomography (CT) revealed left kidney enlargement with presence of gas in the collecting system, paranephric space suggestive of Huang Class III EPN, mild hydronephrosis, and gas extending to the intraspinal, likely epidural space, of the lumbar region [Figure 1].