[Acute renal failure as the beginning of glandular cystitis. Review of the bibliography].

OBJECTIVES

To report one clinical case of obstructive uropathy secondary to bladder pseudotumor.

METHODS

We report the case of a 74-year-old male with obstructive acute renal failure of unknown etiology.

RESULTS

After resolution of the acute renal failure by percutaneous nephrostomy, action was undertaken to control possible etiologic causes, resolving the bilateral ureter entrapment and bladder inflammatory process.

CONCLUSIONS

Glandular cystitis is a nosological entity which in its severe forms behaves clinically and radiologically as a bladder pseudotumor, so that should be considered as a part of the differential diagnosis with bladder tumors. Final diagnosis comes from pathology. For treatment, it is basic to eliminate any predisposing factor, either infectious, or irritative, or obstructive; if no action is carried out on these factors other therapeutic measures as the aforementioned are not effective. Strict follow-up should be undertaken (every six months) because of the high incidence of bladder adenocarcinoma.