Cystitis cystica

Case contributed by Ammar Ashraf
Diagnosis certain

Presentation

Known case of BPH with obstructive uropathy, urosepsis and acute on top of chronic kidney disease.

Patient Data

Age: 85 years
Gender: Male
ultrasound
Longitudinal
Longitudinal
Longitudinal
Longitudinal
Transverse
Transverse
Transverse
Transverse
Longitudinal
Longitudinal
Longitudinal
Longitudinal
Transverse
Transverse
Transverse
Transverse
Longitudinal
& transverse
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Info
  • increased renal parenchymal echogenicity and moderate hydronephrosis bilaterally. Partially visualized proximal ureters are also dilated.

  • enlarged prostate gland.

  • diffuse, irregular thickened urinary bladder walls with multiple small focal cystic lesions.

  • fluid-debris level in the urinary bladder.

ct
This study is a stack
Axial
non-contrast
This study is a stack
Coronal
non-contrast
This study is a stack
Axial
non-contrast
This study is a stack
Coronal
non-contrast
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Info
  • bilateral moderate hydroureteronephrosis with mild bilateral cortical thinning. One cyst in either kidney, with the cyst seen on right side being hyperdense. No radiopaque calculi are seen in the kidneys, ureters and urinary bladder.

  • distended urinary bladder with thick trabeculated walls containing multiple cystic structures.

  • enlarged prostate gland bulging into the bladder.

  • degenerative changes in the visualized spine.

Case Discussion

Enlarged prostate gland with obstructive uropathy and distended urinary bladder with thick trabeculated walls containing multiple cystic structures; these findings are suggestive of cystitis cystica.

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