Macroscopic Hematuria and a Bladder Mass: Eosinophilic Cystitis in a 7-Year-Old Boy
We report a case of eosinophilic cystitis in a 7-year-old boy with a history of atopic symptoms, with focus on the radiological findings. He presented with hematuria and dysuria and ultrasonography (US) showed irregular bladder wall thickening resembling a bladder mass. CT urography did not characte...
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| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2016/9346218 |
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| author | Stine Bjerrum Runge Søren Høyer Louise Winding |
| author_facet | Stine Bjerrum Runge Søren Høyer Louise Winding |
| author_sort | Stine Bjerrum Runge |
| collection | DOAJ |
| description | We report a case of eosinophilic cystitis in a 7-year-old boy with a history of atopic symptoms, with focus on the radiological findings. He presented with hematuria and dysuria and ultrasonography (US) showed irregular bladder wall thickening resembling a bladder mass. CT urography did not characterize the lesion any further and showed no local or distant spread. Biopsies revealed eosinophilic cystitis, a benign inflammatory condition. We found that US characterized the lesion at least as well as CT and should be the first choice of imaging. When staging is considered before biopsy, MRI should be preferred to CT. There are no specific radiological signs of eosinophilic cystitis. On follow-up, US was a safe, cost-effective imaging modality, but findings should be interpreted in a clinical context. In a child with hematuria and a bladder mass, eosinophilic cystitis is a relevant but rare differential diagnosis, especially when there is a known atopic history. |
| format | Article |
| id | doaj-art-78cf6db2884f42aea1150343c38325f9 |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-78cf6db2884f42aea1150343c38325f92025-02-03T06:01:42ZengWileyCase Reports in Radiology2090-68622090-68702016-01-01201610.1155/2016/93462189346218Macroscopic Hematuria and a Bladder Mass: Eosinophilic Cystitis in a 7-Year-Old BoyStine Bjerrum Runge0Søren Høyer1Louise Winding2Department of Radiology, Lillebaelt Hospital, Skovvangen 2-8, 6000 Kolding, DenmarkInstitute of Pathology, Aarhus University Hospital, 8000 Aarhus C, DenmarkPediatric Department, Lillebaelt Hospital, 6000 Kolding, DenmarkWe report a case of eosinophilic cystitis in a 7-year-old boy with a history of atopic symptoms, with focus on the radiological findings. He presented with hematuria and dysuria and ultrasonography (US) showed irregular bladder wall thickening resembling a bladder mass. CT urography did not characterize the lesion any further and showed no local or distant spread. Biopsies revealed eosinophilic cystitis, a benign inflammatory condition. We found that US characterized the lesion at least as well as CT and should be the first choice of imaging. When staging is considered before biopsy, MRI should be preferred to CT. There are no specific radiological signs of eosinophilic cystitis. On follow-up, US was a safe, cost-effective imaging modality, but findings should be interpreted in a clinical context. In a child with hematuria and a bladder mass, eosinophilic cystitis is a relevant but rare differential diagnosis, especially when there is a known atopic history.http://dx.doi.org/10.1155/2016/9346218 |
| spellingShingle | Stine Bjerrum Runge Søren Høyer Louise Winding Macroscopic Hematuria and a Bladder Mass: Eosinophilic Cystitis in a 7-Year-Old Boy Case Reports in Radiology |
| title | Macroscopic Hematuria and a Bladder Mass: Eosinophilic Cystitis in a 7-Year-Old Boy |
| title_full | Macroscopic Hematuria and a Bladder Mass: Eosinophilic Cystitis in a 7-Year-Old Boy |
| title_fullStr | Macroscopic Hematuria and a Bladder Mass: Eosinophilic Cystitis in a 7-Year-Old Boy |
| title_full_unstemmed | Macroscopic Hematuria and a Bladder Mass: Eosinophilic Cystitis in a 7-Year-Old Boy |
| title_short | Macroscopic Hematuria and a Bladder Mass: Eosinophilic Cystitis in a 7-Year-Old Boy |
| title_sort | macroscopic hematuria and a bladder mass eosinophilic cystitis in a 7 year old boy |
| url | http://dx.doi.org/10.1155/2016/9346218 |
| work_keys_str_mv | AT stinebjerrumrunge macroscopichematuriaandabladdermasseosinophiliccystitisina7yearoldboy AT sørenhøyer macroscopichematuriaandabladdermasseosinophiliccystitisina7yearoldboy AT louisewinding macroscopichematuriaandabladdermasseosinophiliccystitisina7yearoldboy |