Polypoid cystitis resulting from ovarian abscess.
We present the case of a 41-year-old woman who presented with gross hematuria, urinary urgency and frequency, and intermittent abdominal pain after vaginal hysterectomy 2 years prior. The presence of an adnexal mass was suspected by pelvic examination and confirmed by transvaginal pelvic ultrasonography. Cystoscopy with biopsy was consistent with an inflammatory bladder polyp, which was initially discovered by pelvic ultrasonography and noted to be contiguous with the adnexal mass. The patient underwent exploratory laparotomy, lysis of adhesions, left salpingoophorectomy, and transvesical resection of the bladder mass. Histology was consistent with ovarian abscess and chronic sinus tract formation that was contiguous with an inflammatory bladder polyp.
Minaglia
Steven
S
Division of Female Pelvic Medicine and Reconstructive Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. minaglia@usc.edu
Terbell
Heather
H
Felix
Juan C
JC
Ballard
Charles A
CA
D000038:Abscess / Q000150:complications*; D000328:Adult; D003556:Cystitis / Q000209:etiology*; D003558:Cystoscopy; D005260:Female; D005402:Fistula / Q000473:pathology; D006801:Humans; D010049:Ovarian Diseases / Q000150:complications* / Q000473:pathology; D011127:Polyps / Q000209:etiology*; D018608:Ultrasonography, Doppler; D001745:Urinary Bladder Diseases / Q000209:etiology*; D001747:Urinary Bladder Fistula / Q000473:pathology