Boncheva-Henderson Viktoriya, Mallalieu Katie, Yassaie Omid
Wellington Hospital, Capital & Coast, Te Whatu Ora, Wellington, New Zealand.
Urol Case Rep. 2025 Aug 18;62:103168. doi: 10.1016/j.eucr.2025.103168. eCollection 2025 Sep.
Bladder wall abscesses are rare and present a diagnostic challenge, particularly in high-risk patients. We report the first known case of a bladder wall abscess in an adult female with a neurogenic bladder using clean intermittent self-catheterisation (CISC), ultimately diagnosed with squamous cell carcinoma (SCC) of the bladder. Infective symptoms and imaging consistent with abscess delayed the diagnosis of moderately differentiated SCC. This case highlights the diagnostic difficulty of bladder abscesses and the importance of early histological evaluation in atypical or non-resolving lesions. Malignancy should always be considered in high-risk individuals with neurogenic bladder and long-term CISC.
膀胱壁脓肿罕见，对诊断构成挑战，尤其是在高危患者中。我们报告了首例已知的成年女性神经源性膀胱患者发生膀胱壁脓肿的病例，该患者采用清洁间歇性自我导尿（CISC），最终被诊断为膀胱鳞状细胞癌（SCC）。与脓肿相符的感染症状和影像学表现延误了中度分化SCC的诊断。该病例凸显了膀胱脓肿的诊断困难以及对非典型或不消退病变进行早期组织学评估的重要性。对于患有神经源性膀胱和长期进行CISC的高危个体，应始终考虑存在恶性肿瘤的可能性。
