A rare case of eosinophilic cystitis involving the inside and outside of the urinary bladder associated with an infected urachal cyst
| Autor: | Joo Heon Kim, Jinsung Park, Hyun Sik Park, Hyun Bin Shin |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Urology medicine.medical_treatment Urachal cyst Eosinophilic cystitis Case Report urologic and male genital diseases Lesion Cystectomy Cystitis Eosinophilia medicine Infected urachal cyst Dysuria Humans Urinary bladder medicine.diagnostic_test business.industry General Medicine Cystoscopy Middle Aged medicine.disease Diseases of the genitourinary system. Urology female genital diseases and pregnancy complications medicine.anatomical_structure Reproductive Medicine Partial cystectomy Radiology RC870-923 medicine.symptom business Tomography X-Ray Computed |
| Zdroj: | BMC Urology BMC Urology, Vol 21, Iss 1, Pp 1-6 (2021) |
| ISSN: | 1471-2490 |
| Popis: | Background Eosinophilic cystitis is a rare inflammatory disease of the bladder characterized by eosinophilic infiltration of the bladder wall. Most Eosinophilic cystitis cases present with mucosal lesions of the urinary bladder. We present a very rare case of large mass-forming eosinophilic cystitis, involving the inside and outside of the bladder associated with an infected urachal cyst. Case presentation A 59-year-old man presented with gross hematuria, fever, dysuria, and suprapubic pain. Computed tomography showed a heterogeneously enhancing mass that measured 7.6 cm × 4 cm located on the anterosuperior portion of the bladder with an internal fluid collection. Cystoscopy revealed a raspberry-like mass lesion on the bladder dome. Transurethral resection of the bladder was initially performed. The mass lesion protruding from inside the bladder was removed, and pus-like fluid was drained. The pathologic diagnosis was eosinophilic cystitis. Follow-up computed tomography showed a remnant mass outside the bladder and urachal cyst. To eliminate the remnant lesion, robot-assisted partial cystectomy was performed. The patient showed no evidence of recurrent disease on follow-up cystoscopy and computed tomography for up to 2 years. Conclusions Clinicians should consider the possibility of eosinophilic cystitis in patients who present with hematuria, fever, and suprapubic pain and have both intravesical and extravesical masses. |
| Databáze: | OpenAIRE |
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