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- Case Report Encrusted Cystitis and Pyeloureteritis in Patient with Hepatocellular Carcinoma
- Jea Whan Lee, Whi-An Kwon, Seung Chol Park, Tae Hoon Oh, Young Hwan Lee, Joung Sik Rim
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간세포암 환자에서 발생한 가피성 방광염과 신우요관염 - 이재환, 권휘안, 박승철, 오태훈, 이영환, 임정식
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Urogenital Tract Infection 2015;10(1):49-52.
Published online: April 30, 2015
<SUP>1</SUP>Department of Urology, <SUP>2</SUP>Institute of Wonkwang Medical Science, <SUP>3</SUP>Department of Radiology, Wonkwang University School of Medicine and Hospital, Iksan, <SUP>4</SUP>Hana Clinic, Naju, Korea
원광대학교의과대학병원 <SUP>1</SUP>비뇨기과, <SUP>2</SUP>원광의과학연구소, <SUP>3</SUP>영상의학과, <SUP>4</SUP>나주하나의원
원광대학교의과대학병원 <SUP>1</SUP>비뇨기과, <SUP>2</SUP>원광의과학연구소, <SUP>3</SUP>영상의학과, <SUP>4</SUP>나주하나의원
Received: 17 July 2014 • Revised: 22 October 2014 • Accepted: 28 October 2014
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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.
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