PMC3921714_01
Ultrasound picture of the bladder.
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Ultrasonography showed extensive irregular thickening of the bladder walls, up to 20 mm in greatest dimension, with the presence of two cystic lesions (32 mm and 21 mm) with anechoic content and a thin hyperechogenic wall (Fig. 1).
Urography.
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Urography showed a normal course of both ureters with moderate dilation in the distal part (Fig. 2).
Cystoscopy (bladder neck).
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The larger one almost completely closed the internal orifice of the urethra (Fig. 3).
Cystoscopy (bladder mucosa).
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Mucosa throughout the bladder was significantly swollen, hemorrhagic, and particularly irregular within the trigone of the bladder (Fig. 4).
Pathological picture: cystitis glandularis of the typical type. A. The lesion is well circumscribed in the edematous and inflamed vesical mucosa and contains some cystically dilated structures. B. Larger magnification shows columnar lining cells devoid of mucus and goblet cells.
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Pathological examination of both specimens (cyst and bladder mucosa) showed cystitis cystica glandularis (Fig. 5).