Source
Servicio de Urología, Hospital Ramón y Cajal, Madrid, España. iggoga@hotmail.com
Abstract
OBJECTIVES:
To report one clinical case of obstructive uropathy secondary to bladder pseudotumor.
METHODS:
We report the case of a 74-year-old male with obstructive acute renal failure of unknown etiology.
RESULTS:
After resolution of the acute renal failure by percutaneous nephrostomy, action was undertaken to control possible etiologic causes, resolving the bilateral ureter entrapment and bladder inflammatory process.
CONCLUSIONS:
Glandular cystitis is a nosological entity which in its severe forms behaves clinically and radiologically as a bladder pseudotumor, so that should be considered as a part of the differential diagnosis with bladder tumors. Final diagnosis comes from pathology. For treatment, it is basic to eliminate any predisposing factor, either infectious, or irritative, or obstructive; if no action is carried out on these factors other therapeutic measures as the aforementioned are not effective. Strict follow-up should be undertaken (every six months) because of the high incidence of bladder adenocarcinoma.