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Eosinophilic cystitis in children
S L Axelrod1, K S Ring, M H Collins
1Department of Pediatric Urology, Babies Hospital, Columbia-Presbyterian Medical Center, New York, New York.
Insights
Eosinophilic cystitis, a rare bladder inflammation, may recur after surgery in children. This case suggests a link between bladder trauma and recurrence, recommending pre-surgical steroid and antihistamine treatment.
Area of Science:
- Urology
- Pediatric Urology
- Inflammatory Disorders
Background:
- Eosinophilic cystitis is an uncommon inflammatory bladder condition causing urinary symptoms.
- It can mimic rhabdomyosarcoma on imaging.
- Previously, pediatric cases were considered self-limiting without specific treatment.
Abstract:
Eosinophilic cystitis is an uncommon inflammatory disorder of the urinary bladder which causes irritative voiding symptoms and may mimic rhabdomyosarcoma radiographically. In children, eosinophilic cystitis has been previously reported to be self-limiting and requires no specific therapy. Reported herein is a case of a nine-year-old girl in whom eosinophilic cystitis recurred following antireflux surgery, raising the question of an association of eosinophilic cystitis with local trauma such as bladder surgery. Consideration should be given to pretreatment with steroids and antihistamines prior to surgery in these patients.