PMC8202316_01
Photomicrograph of bladder biopsy showing superficial nests of urothelial mucosa with cystic change in the background of chronic inflammation.
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Biopsies of the abnormal bladder urothelium noted multiple foci of CCEG (Figure 1) and no evidence of dysplasia, malignancy, tuberculosis, or schistosomiasis.
Anterograde study at the time of cystoscopy showing complete bilateral vesicoureteric junction obstruction with no contrast passing from the ureter into the bladder.
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Bilateral percutaneous nephrostomies were inserted forthwith, and bilateral anterograde pyelography revealed distended ureters with complete obstruction at the level of both vesicoureteral junctions (Figure 2).
CT cystogram showing a good capacity bladder with no evidence of pelvic lipomatosis.
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CCEG, generally regarded as self-limiting, to resolve. Computed tomography (CT) cystogram showed a good capacity bladder, with no evidence of pelvic lipomatosis (Figure 3).
Cystoscopic view showing nodular lesion over the right ureteric orifice (a) with the slit-like right ureteric orifice visible after careful transurethral resection of the bladder lesion (b).
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Careful resection of the remaining lesions on the trigone exposed slit-like ureteric orifices (Figure 4), but unfortunately, these orifices could not be catheterised.