EncruSsted 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

doi:10.14777/kjutii.2015.10.1.49

Journal List > Korean J Urogenit Tract Infect Inflamm > v.10(1) > 1059910

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Lee, Kwon, Park, Oh, Lee, and Rim: EncruSsted Cystitis and Pyeloureteritis in Patient with Hepatocellular Carcinoma

Case Report

Korean J Urogenit Tract Infect Inflamm 2015;10(1):49-52.

Published online: 17 April 2015

DOI: https://doi.org/10.14777/kjutii.2015.10.1.49

EncruSsted Cystitis and Pyeloureteritis in Patient with Hepatocellular Carcinoma

Jea Whan Lee^1,², Whi-An Kwon^1,², Seung Chol Park^1,², Tae Hoon Oh^1,², Young Hwan Lee^2,³, Joung Sik Rim⁴

¹Department of Urology, Wonkwang University School of Medicine and Hospital, Iksan, Korea

²Institute of Wonkwang Medical Science, Wonkwang University School of Medicine and Hospital, Iksan, Korea

³Department of Radiology, Wonkwang University School of Medicine and Hospital, Iksan, Korea

⁴Hana Clinic, Naju, Korea

Correspondence to: Seung Chol Park, http://orcid.org/0000-0002-3170-9106, Department of Urology, Wonkwang University School of Medicine and Hospital, 895 Muwang-ro, Iksan 570-711, Korea Tel: +82-63-859-1334, Fax: +82-63-842-1455 E-mail: sc.park@wonkwang.ac.kr

Received 17 July 2014 Revised 22 October 2014 Accepted 28 October 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 followup cystoscopy showed that inflammation was improved and calcification was significantly reduced.

Keywords: Bacteria, Urinary calculi, Urinary tract infections

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Fig. 1.

Abdomino-pelvic computed tomography (CT) images. (A) Non-contrast enhanced CT shows bilateral mild hydronephrosis with calcifications of the right renal pelvis (arrow). Enhanced CT shows calcification of ureter (B, arrows) and urinary bladder (C, arrow).

Fig. 2.

Cystoscopy shows encrusted bladder mucosa with severe inflammation, necrosis and bleeding.

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