Florid cystitis cystica et glandularis causing irreversible renal injury

被引：4

作者：

Bhana, Kerisha ^{[1
,2
]}

Lazarus, John ^{[3
,4
]}

Kesner, Ken ^{[1
,2
]}

John, Jeff ^{[1
,2
]}

机构：

[1] Frere Hosp, Dept Surg, Dept Urol, ZA-5200 East London, South Africa

[2] Walter Sisulu Univ, ZA-5200 East London, South Africa

[3] Groote Schuur Hosp, Dept Surg, Div Urol, Cape Town, South Africa

[4] Univ Cape Town, Cape Town, South Africa

来源：

THERAPEUTIC ADVANCES IN UROLOGY | 2021年 / 13卷

关键词：

Benign bladder lesions; cystitis cystica; cystitis glandularis; cystitis cystica et glandularis; renal failure; obstructive uropathy;

D O I：

10.1177/17562872211022465

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Cystitis cystica et glandularis (CCEG) is widely believed to be innocuous and self-limiting. We report a case of a 32-year-old male patient who was found to have gross bilateral hydroureter and hydronephrosis and an estimated glomerular filtration rate of 3 ml/min/1.73 m(2). Cystoscopy revealed extensive cystic and nodular lesions involving most of the bladder urothelium, which proved to be CCEG on histopathological analysis. Retrograde and anterograde stents could not be inserted due to obstruction of the ureters at the level of the vesicoureteric junction. Percutaneous nephrostomies were subsequently inserted. Although there was evidence of improvement of the CCEG on follow-up cystoscopy, no improvement of renal function, despite decompression with percutaneous nephrostomies, was seen. He was subsequently placed on the waiting list for a renal transplant. We believe this to be the only known case reported of florid CCEG obstructing the upper urinary tracts bilaterally, causing irreversible renal injury.

引用

页数：4

共 14 条

[1] Bladder outlet obstruction secondary to posterior urethral cystitis cystica & glandularis in a 12-year-old boy. A rare case scenario [J].