一例罕见的年轻女性自发性膀胱壁脓肿酷似膀胱肿瘤。
A rare case of spontaneous bladder wall abscess mimicking bladder tumour in young women.
机构信息
Urology Division, Department of Surgery, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada / Dr. Sardjito Hospital, Jl. Kesehatan No.1, Yogyakarta, 55281, Indonesia.
Urology Division, Department of Surgery, Regional General Banyumas Hospital, Jl. Rumah Sakit No.1, Karangpucung, Kejawar, Kec. Banyumas, Kabupaten Banyumas, Jawa Tengah, 53192, Indonesia.
出版信息
BMC Urol. 2024 May 18;24(1):109. doi: 10.1186/s12894-024-01497-6.
INTRODUCTION
Abscess of the bladder wall is a rare urological disorder, with a few cases recorded in the literature. The finding of a bladder wall mass via computed tomography (CT) imaging in a visiting patient is the subject of this report.
CASE DISCUSSION
A 37-year-old woman with persistent pain in the suprapubic area and lower urinary tract symptoms was examined as a case study. Through a CT scan revealed an inhomogeneous structure in the anteroinferior part of the right bladder. A cystoscopy procedure followed by transurethral resection was performed to remove the mass, which was found to be an abscess. A Foley catheter with irrigation was administered after surgery, and the patient goes home in three days.
CONCLUSION
the patient had no symptoms or discomfort in the lower urinary tract after follow-up. Despite the rarity of bladder wall abscesses, cystoscopy can be used to aid diagnosis. Transurethral resection of bladder wall can reduce the mass and eliminate the possibility of malignancy.
简介
膀胱壁脓肿是一种罕见的泌尿科疾病，文献中仅有少数病例记录。本报告介绍了一名来访患者通过计算机断层扫描（CT）成像发现的膀胱壁肿块。
病例讨论
一名 37 岁女性因耻骨上区持续性疼痛和下尿路症状就诊。CT 扫描显示右膀胱前下壁不均匀结构。随后进行膀胱镜检查和经尿道切除以切除肿块，结果发现为脓肿。手术后留置 Foley 导管进行冲洗，患者在三天后出院。
结论
患者随访后下尿路无任何症状或不适。尽管膀胱壁脓肿较为罕见，但膀胱镜检查有助于诊断。经尿道切除膀胱壁可减少肿块并消除恶性肿瘤的可能性。
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