Imaging Characteristics of Alkaline-Encrusted Cystitis and Pyelitis

D, Thoumas; Darmallaicq, Caroline; Pfister, Christian; Savoye‐Collet, Céline; Sibert, L.; P, Grise; Lemaître, L.; Benozio, M

doi:10.2214/ajr.178.2.1780389

Cited by 41 publications

(39 citation statements)

References 5 publications

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“…It provides excellent visualization of the urothelial wall and calcification. It should be considered in deciding optimal treatment and in monitoring the regression of calcified plaques [9].…”

Section: Discussionmentioning

confidence: 99%

Urinary bladder perforation due to encrusted cystitis: A rare entity

Mallat¹,

Hmida²,

Ahmed³

et al. 2014

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Case Report: Herein, we report a new case of encrusted cystitis complicated by rupture of the bladder, septic peritonitis and uroperitoneum, and digestive fistula in a 57-year-old male and review literature. Conclusion: Encrusted cystitis is a severe entity that its evolution is unpredictable and it may be complicated by urinary bladder rupture that should be considered.

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Section: Discussionmentioning

confidence: 99%

Urinary bladder perforation due to encrusted cystitis: A rare entity

Mallat¹,

Hmida²,

Ahmed³

et al. 2014

IJCRI

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“…An aggressive-appearing tubo-ovarian abscess that extends into the extraperitoneal compartment is suggestive of tuberculous involvement (1). When the fallopian tubes are affected, concomitant involvement of the endometrium is likely in 50% of patients (18). Multiple perineal abscesses can result in the formation of multiple sinuses or fistulas to the perineum or rectum in both male and female patients.…”

Section: Discussionmentioning

confidence: 99%

AIRP Best Cases in Radiologic-Pathologic Correlation: Genitourinary Tuberculosis

Wong¹,

Dhingra²,

Surabhi³

2012

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A 22-year-old man from Mexico presented to the emergency department with an insidious onset of fever, nausea, and moderate left lower back and flank pain. He had a history of hematuria and renal stones and had been treated previously for recurrent urinary tract infections. Initial abdominal radiography showed a subtle, long-segment, linear calcification lateral to the L4 vertebral body, in the normal anatomic location of the distal one-third of the left ureter (Fig 1). Unenhanced computed tomography (CT) showed left hydronephrosis with extensive fine calcifications in the left renal collecting system. At urinalysis, many red blood cells and a trace of white blood cells were seen. Blood test results showed a high white cell count (up to 14.3 × 10 9 /L), but other laboratory values were in the normal range. The patient underwent percutaneous nephrostomy for urinary drainage and received intravenous antibiotic therapy. However, his fever (102.9°F [39.4°C]), leukocytosis, and left flank pain persisted. Nine months later, he was referred by his clinician for a follow-up imaging evaluation.

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“…Although it is not known if the organism is introduced during interventional procedures, it has been proposed that the causative pathogen could travel to the renal pelvis via a nephrostomy catheter or ascend through a ureteral catheter ( 3 ). Reported underlying conditions and procedures include transitional cell carcinoma of the urinary bladder, with subsequent radical cystoprostatectomy and orthotopic cystoplasty ( 1 ), chronic gromerulonephritis with renal transplantation ( 2 , 3 ), radiation therapy, congenital uropathy with a left kidney, and sigmoid loop diversion ( 5 ). This patient had double J-ureteral stents placed through the stomal end of the ileal conduit during surgery 7 years prior to presentation.…”

Section: Historymentioning

confidence: 99%

“…Urothelial infl ammation and encrustation along with mucopurulent debris are thought to result in some degree of urinary obstruction, causing the decline in renal function ( 4 ). Other features that have been reported at presentation are fl uid overload ( 1 ), pyuria ( 1 ), suprapubic pain ( 4 , 5 ), passage of debris ( 2 , 3 ) and stones ( 5 ), and fever ( 4 , 5 ). There may be a delay of a few days to many years from the procedure to the onset of this disease process ( 1 , 4 , 5 ).…”

Section: Historymentioning

confidence: 99%

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Case 167: Alkaline-encrusted Pyelitis

Vallurupalli

Coakley²

2011

Radiology

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Imaging Findings US of the kidneys revealed mild left hydronephrosis and bilateral renal calyceal echogenicities with shadowing. These were initially thought to be calculi (Fig 1). Unenhanced CT of the abdomen and pelvis revealed mild bilateral hydroureter and hydronephrosis, with curvilinear calcifi cations involving the urothelium of the renal pelves and calyces (Fig 2). These CT fi ndings were not seen at CT performed approximately 1 year previously. On the basis of these radiologic fi ndings, a presumptive diagnosis of alkaline-encrusted pyelitis was made.

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Imaging Characteristics of Alkaline-Encrusted Cystitis and Pyelitis

Cited by 41 publications

References 5 publications

Urinary bladder perforation due to encrusted cystitis: A rare entity

Urinary bladder perforation due to encrusted cystitis: A rare entity

AIRP Best Cases in Radiologic-Pathologic Correlation: Genitourinary Tuberculosis

Case 167: Alkaline-encrusted Pyelitis

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