Bladder polyp complicated with cystitis glandularis cystica.
A one year old boy presented with dribbling of urine since birth. Ultrasonography showed bilateral hydronephrosis and hydroureter suggestive of posterior urethral valves. Micturating cystourethrogram and cystoscopy was not possible due to obstruction at bladder neck. Vesicostomy was initially performed to relieve the obstruction. Child presented again at the age of 3 years whence MCUG suggested a filling defect in the bladder, confirmed as a mass on cystoscopy. Exploration revealed a 3 x 4 cm polypoidal mass arising from the bladder neck near verumontanum. Excision of the mass was easy due to narrow pedicle. Histology suggested it to be a large fibroepithelial polyp complicated by cystitis glandularis cystica. Child had uneventful recovery and is symptoms-free 6 months after surgery.
Department of Paediatric Surgery, National Institute of Child Health, Karachi.
Saadia
S
Iqbal
Siraj
S
Soomro
M Nasir
MN
Baig
Aqil
A
Soomro
Iftikhar A
IA
Jan