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Image IQ Quiz: Diabetic Patient Presents with Nausea, Vomiting, Sepsis

Article

Patient with uncontrolled diabetes presents with nausea and vomiting, sepsis. What is the most likely diagnosis?

Case submitted by Robert Nisbet, M.D., with Texas Radiology Associates.

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What is your diagnosis?

Fistulous communication with bowel
Shattered kidney
Emphysematous pyelonephritis
Pneumatosis
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