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Prolapsing cystitis cystica causing bladder outlet obstruction: An unusual complication
Pankaj Halder1, Kartik Chandra Mandal1, Sumedha Mukherjee2
1Department of Paediatric Surgery, Dr. B. C. Roy PGIPS, Kolkata, West Bengal, India.
Cystitis cystica (CC) is a bladder condition that usually improves with treatment. Severe cases, like the one in this pediatric patient, may require surgery to manage recurrent urinary tract infections (UTIs) and prevent kidney damage.
Area of Science:
- Urology
- Pediatric Urology
- Pathology
Background:
- Cystitis cystica (CC) is a benign proliferative disorder of the bladder urothelium.
- CC typically resolves with conservative medical management.
- Severe or complicated cases may necessitate surgical intervention.
Observation:
- A 2-year-old boy presented with severe Cystitis Cystica.
- The patient experienced recurrent urinary tract infections (UTIs) and progressive renal damage.
- A large, pedunculated intravesical lesion was identified.
Findings:
- Surgical excision of the intravesical lesion was performed.
- The procedure aimed to control refractory breakthrough UTIs.
- Management focused on preventing further renal compromise.
Implications:
- This case highlights the potential need for surgical management in severe pediatric CC.
- Accurate diagnosis is crucial to differentiate CC from bladder neoplasms or posterior urethral valves in children.
- Prompt intervention can prevent severe complications such as renal damage.
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