D Manimaran, T M Karthikeyan, M Sreenivasulu, V R Mrinalini, V Gopinath
Associate Professor, Department of Pathology, Melmaruvathur Adhiparasakthi Institute of Medical Sciences & Research , Tamilnadu, India .
J Clin Diagn Res. 2013 Oct;7(10):2282-3. doi: 10.7860/JCDR/2013/6018.3496. Epub 2013 Mar 8.
A 16-year-old male presented with urinary urgency, a frequency of 4 months duration and intermittent gross haematuria which were there since one month. Eosinophilia was noted in complete blood count and CT KUB with contrast showed a filling defect in the right lateral wall, over the vesicoureteric junction. Cystoscopy revealed a sessile mass lesion over right vesico-ureteric junction, with bullous oedema . Rest of the mucosa was normal. Transurethral resection of lesion was performed and histological examination showed features of eosinophilic cystitis. Patient was treated with corticosteroids, antimicrobial agents and antihistaminics and he is recovering well. We are presenting this case for its rare presentation and its possibility of mimicking a bladder tumour. Biopsy of the lesion was diagnostic and an early treatment showed good results.
一名16岁男性患者，出现尿急症状4个月，尿频，1个月来伴有间歇性肉眼血尿。全血细胞计数显示嗜酸性粒细胞增多，CT尿路造影（CT KUB）增强扫描显示膀胱输尿管连接部右侧壁有充盈缺损。膀胱镜检查发现膀胱输尿管连接部右侧有一个无蒂肿块病变，伴有大疱性水肿。其余黏膜正常。对病变进行了经尿道切除术，组织学检查显示为嗜酸性膀胱炎特征。患者接受了皮质类固醇、抗菌药物和抗组胺药治疗，恢复良好。我们报告该病例是因其罕见的表现以及可能被误诊为膀胱肿瘤。病变活检具有诊断意义，早期治疗效果良好。
