Benjamin Lim Tze Ying, Yam Wai Loon, Poh Angeline Choo Choo, Ng Victor, Lim Sey Kiat, Ng Kok Kit
Department of Urology, Changi General Hospital, Singapore.
Department of Diagnostic Radiology, Changi General, Hospital, Singapore.
BJR Case Rep. 2020 May 21;6(3):20200039. doi: 10.1259/bjrcr.20200039. eCollection 2020 Sep 1.
A bacterial mass in the urinary tract is a very rare entity. We report the first case of a bacterial ball within the urinary tract of a patient with diabetic cystopathy on long term urinary indwelling catheter. She presented with fever and gross haematuria. CT scan of abdomen and pelvis revealed a gas containing hyperdense mass within the bladder suspicious of bladder stone. The lesion was resected, and histopathology revealed a matrix of acellular materials with bacteria colony.
尿路中的细菌团是一种非常罕见的情况。我们报告了首例长期留置导尿管的糖尿病膀胱病患者尿路内出现细菌球的病例。她表现为发热和肉眼血尿。腹部和骨盆的CT扫描显示膀胱内有一个含气的高密度肿块,怀疑是膀胱结石。该病变被切除,组织病理学显示为含有细菌菌落的无细胞物质基质。