PMC3921767_01
Coronal CT showing small bladder with calcified walls consistent with alkaline cystitis.
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F0001
CT scan showed multiple calcifications covering the surface of the bladder with bilateral hydronephrosis (Fig. 1, 2). Cystoscopy demonstrated a small capacity bladder with a necrotic looking urothelium and extensive calcifications adherent to the bladder wall.
Transverse CT section showing the same findings.
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F0002
CT scan showed multiple calcifications covering the surface of the bladder with bilateral hydronephrosis (Fig. 1, 2). Cystoscopy demonstrated a small capacity bladder with a necrotic looking urothelium and extensive calcifications adherent to the bladder wall.
Bladder mucosa showing surface ulceration, severe acute and chronic inflammation down to muscularis.
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F0003
Histology demonstrated extensive urothelial ulceration, necrosis and nonspecific active chronic inflammation with foci of interstitial calcification (Fig. 3, 4).
Bladder mucosa showing deposits of calcium salts and surrounding inflammatory cells.
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F0004
Histology demonstrated extensive urothelial ulceration, necrosis and nonspecific active chronic inflammation with foci of interstitial calcification (Fig. 3, 4).
Transverse CT section showing significant radiological improvement in terms of clearance of calcifications after treatment. (Bladder Catheter balloon in situ).
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F0005
However, treatment with gentamycin as per sensitivity, intravesical instillation of Suby's G solution, and bladder curettage completely resolved his symptoms (Fig. 5).