Potts Stephanie, Calleary John
Pennine Acute Hospitals NHS Trust, North Manchester General Hospital, Manchester, United Kingdom.
J Endourol Case Rep. 2017 Mar 1;3(1):34-38. doi: 10.1089/cren.2017.0010. eCollection 2017.
In this case we describe the rare and not previously documented presentation of cystitis cystica as a large solitary cystic lesion within the bladder wall. We present a case of a 46-year-old Russian male with a history of lower urinary tract symptoms and suprapubic pain. CT urogram showed a 5.8 cm filling defect/cystic mass related to the base of the bladder and prostate with 8 mm thick wall. The patient underwent cystoscopy and contrast study of bladder lesion with urethral dilatation and transurethral deroofing of bladder wall cyst under general anesthesia. A histologic diagnosis of cystitis cystica was made. This case described the rare presentation of a large solitary bladder cyst arising from the anterior bladder wall, identified histologically as cystitis cystica. Cystitis cystica presenting as a large cystic lesion of the bladder wall is rare; however, a diagnosis of cystitis cystica should be considered in unexplained cystic defects of the bladder wall.
在本病例中，我们描述了一种罕见的、此前未被记录的膀胱囊性膀胱炎表现，即膀胱壁内出现一个巨大的孤立性囊性病变。我们报告一例46岁的俄罗斯男性患者，有下尿路症状和耻骨上疼痛病史。CT尿路造影显示一个5.8厘米的充盈缺损/囊性肿块，与膀胱底部和前列腺相关，壁厚8毫米。患者在全身麻醉下接受了膀胱镜检查以及膀胱病变的造影检查、尿道扩张和膀胱壁囊肿经尿道去顶术。病理诊断为膀胱囊性膀胱炎。该病例描述了一种罕见的情况，即膀胱前壁出现一个巨大的孤立性膀胱囊肿，经组织学鉴定为膀胱囊性膀胱炎。膀胱囊性膀胱炎表现为膀胱壁的巨大囊性病变较为罕见；然而，对于膀胱壁不明原因的囊性缺损，应考虑膀胱囊性膀胱炎的诊断。
