Zaky Yara Hazem, Fangelnor Anas, Bader Mohammad I, Whitburn Jessica Anna Sandhu
Paediatric Surgery, John Radcliffe Hospital, Oxford, UK.
Paediatric Surgery, John Radcliffe Hospital, Oxford, UK
BMJ Case Rep. 2025 Mar 7;18(3):e263777. doi: 10.1136/bcr-2024-263777.
Eosinophilic cystitis (EC) is a rare presentation in childhood, with just over 100 cases reported in the literature. It often presents with haematuria and irritative lower urinary tract symptoms (LUTS) including frequency, urgency and dysuria. EC can be treated conservatively or surgically. We present a case of an early adolescent male patient who presented with dysuria and haematuria. An ultrasound scan and MRI revealed a lesion in the bladder wall raising the suspicion of malignancy. The initial biopsy was inconclusive, and so imaging was repeated a month later, showing the bladder mass had altered in position, which was confirmed at cystoscopy. Biopsy confirmed the diagnosis of EC. Symptoms resolved, but the patient represented 3 years later with irritative LUTS, haematuria and a left-sided bladder mass on imaging. Biopsy confirmed a reoccurrence of EC and he was managed successfully with oral steroids.
嗜酸性膀胱炎（EC）在儿童期较为罕见，文献报道的病例仅100多例。它常表现为血尿和刺激性下尿路症状（LUTS），包括尿频、尿急和尿痛。EC可采用保守治疗或手术治疗。我们报告一例青春期早期男性患者，其表现为尿痛和血尿。超声扫描和磁共振成像（MRI）显示膀胱壁有病变，怀疑为恶性肿瘤。最初的活检结果不明确，因此一个月后重复进行影像学检查，显示膀胱肿块位置发生改变，膀胱镜检查证实了这一点。活检确诊为EC。症状缓解，但患者在3年后再次出现刺激性LUTS、血尿，影像学检查显示膀胱左侧有肿块。活检证实EC复发，他通过口服类固醇成功治愈。
