Pollack H M, Banner M P, Martinez L O, Hodson C J
AJR Am J Roentgenol. 1981 Apr;136(4):791-7. doi: 10.2214/ajr.136.4.791.
Though a relatively uncommon finding in general radiologic practice, urinary bladder wall calcification has relatively few etiologies. A series of 19 patients with radiographically visible bladder wall calcification encompassing most of the known causes is presented and other reported causes are discussed. Eight patients had schistosomiasis, six had primary carcinoma of the bladder, two had encrustation cystitis, and one each had amyloidosis, cyclophosphamide-induced cystitis, and tuberculosis. While a correct diagnosis is often not possible solely on the basis of the appearance of the calcification, such a diagnosis can usually be obtained expediently from a combination of history, clinical examination, appropriate laboratory studies, and radiographic evaluation of the bladder calcification and remaining urinary tract. Cystoscopy with biopsy of involved tissues is almost necessary, however, for confirmation and to rule out bladder neoplasia.
虽然膀胱壁钙化在普通放射学实践中是相对少见的发现，但其病因相对较少。本文报告了19例膀胱壁钙化在影像学上可见的患者，涵盖了大多数已知病因，并讨论了其他已报道的病因。8例患者患有血吸虫病，6例患有原发性膀胱癌，2例患有结痂性膀胱炎，各有1例患有淀粉样变性、环磷酰胺诱导的膀胱炎和结核病。虽然仅根据钙化的表现通常无法做出正确诊断，但通过病史、临床检查、适当的实验室检查以及对膀胱钙化和其余尿路的影像学评估相结合，通常可以迅速做出诊断。然而，几乎有必要进行膀胱镜检查并对受累组织进行活检，以确诊并排除膀胱肿瘤。
