Korean J Urogenit Tract Infect Inflamm.  2015 Apr;10(1):49-52. 10.14777/kjutii.2015.10.1.49.

Encrusted Cystitis and Pyeloureteritis in Patient with Hepatocellular Carcinoma

• Lee JW
• Kwon WA
• Park SC
• Oh TH
• Lee YH
• Rim JS

• KMID: 1839389
• DOI: http://doi.org/10.14777/kjutii.2015.10.1.49

Abstract

Encrusted cystitis and pyeloureteritis are rare chronic infectious conditions characterized by mucosal inflammation and encrustations of the urinary tract. It is caused by fastidious growing urea splitting microorganisms, mainly Corynebacterium. Herein, we report an unusual case of an 80-year-old man with encrusted cystitis and pyeloureteritis who was previously treated with transcatheteral arterial chemoembolization for hepatocellular carcinoma. Abdomino-pelvic computerized tomography showed a bilateral hydronephrosis with calcifications of renal pelvis, ureter, and bladder. Cystoscopy showed calcified bladder mucosa with necrosis and bleeding. After transurethral removal of calcified plaques, the patient was treated with antibiotic and oral urine acidification. One-month follow-up cystoscopy showed that inflammation was improved and calcification was significantly reduced.

Keyword

Bacteria; Urinary calculi; Urinary tract infections

MeSH Terms

Aged, 80 and over
Bacteria
Carcinoma, Hepatocellular*
Corynebacterium
Cystitis*
Cystoscopy
Follow-Up Studies
Hemorrhage
Humans
Hydronephrosis
Inflammation
Kidney Pelvis
Mucous Membrane
Necrosis
Urea
Ureter
Urinary Bladder
Urinary Calculi
Urinary Tract
Urinary Tract Infections
Urea

Figure

• 

  Fig. 1. Abdomino-pelvic computed tomography (CT) images. (A) Non-contrast enhanced CT shows bilateral mild hydronephrosis with calcifications of the right renal pelvis (arrow). Enhanced CT shows calcification of ureter (B, arrows) and urinary bladder (C, arrow).

• 

  Fig. 2. Cystoscopy shows encrusted bladder mucosa with severe inflammation, necrosis and bleeding.

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