PMC3770490_01
(A) Severe bladder wall thickness with distinct layering, perivesicular stranding, and reduced intravesical volume. (B) and (C) Remarkable improvement in bladder wall thickness and bladder space.
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figure1
An imaging study of the urinary system, including a contrast enhanced abdominopelvic CT scan, showed a very thick walled bladder with distinct layering, perivesicular stranding, and intravesical clots [Figure 1(A)]. The symptoms started to subside slowly so that during 10-12 weeks of conventional therapy, a decrease in bladder wall thickness was observed on repeated CT scans [Figure 1(B) and (C)].
Decoy cell was found in the patient's urine (detected by papanicolaou stain).
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figure2
In addition, complementary for diagnosis, urine was examined for observation of decoy cells that were positive on centrifuged spot urine sample of the patient (Figure 2).