膀胱颈部脓肿伪装成良性肿块一例。

Case Reports in Urology Pub Date : 2022-10-04 eCollection Date: 2022-01-01 DOI:10.1155/2022/9966553
Victor A Abdullatif, Jacob Novack, Philip J Shalhoub, Todd G Campbell, Joel E Abbott
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引用次数: 0

摘要

摘要膀胱颈脓肿是一种罕见的泌尿系统疾病,在现代文献中报道的病例很少。本报告探讨了一个病例膀胱颈部肿块偶然发现在计算机断层扫描(CT)成像的病人髂腰肌脓肿。案例演示。我们报告了一个60岁的女性病例,她最近在2022年7月因髂腰肌脓肿继发脓毒症接受了治疗。CT扫描显示膀胱左旁侧壁后下段结构不确定。在膀胱镜检查与经尿道切除肿块,脓肿被发现和疏散。术后留置Foley导尿管,患者恢复无任何并发症。结论:在发表时,患者感觉良好,否认疼痛或下尿路症状。虽然膀胱脓肿非常罕见,但膀胱镜检查时的偶然发现可能需要对合并脓肿的患者进行进一步的调查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A Rare Case of a Bladder Neck Abscess Masquerading as a Benign Mass.

A Rare Case of a Bladder Neck Abscess Masquerading as a Benign Mass.

A Rare Case of a Bladder Neck Abscess Masquerading as a Benign Mass.

A Rare Case of a Bladder Neck Abscess Masquerading as a Benign Mass.

Introduction: Bladder neck abscesses are rare urologic pathologies with very few cases published in modern literature. This report explores a case of a bladder neck mass incidentally found on computed tomography (CT) imaging in a patient with an iliopsoas abscess. Case Presentation. We present a case of a 60-year-old woman who was recently treated for sepsis secondary to an iliopsoas abscess in July of 2022. A CT scan revealed an indeterminate structure in the posterior inferior left paramedian bladder wall. During a cystoscopy with transurethral resection of the mass, an abscess was uncovered and evacuated. A postoperative Foley catheter was left in place, and the patient recovered without any complications.

Conclusion: At the time of publication, the patient feels well and denies pain or lower urinary tract symptoms. Although bladder abscesses are exceptionally rare, incidental findings during cystoscopy may warrant further investigation in patients with comorbid abscesses.

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