Urethral catheter-related bladder wall lesions simulating inflammatory pseudotumor in a neonate.
BACKGROUND
Inflammatory pseudotumors of the bladder are rare in newborns. Considering the potential for malignancy, invasive diagnostic assessment and therapeutic surgical excision have been described as the approach of choice.


METHODS
We present a case of urethral catheter-related injury causing multifocal lesions simulating inflammatory pseudotumors of the bladder, diagnosed in a newborn presenting with persistent priapism. This case is distinct by virtue of its very rapid spontaneous regression of the bladder wall lesions within 4 days.


CONCLUSIONS
Our neonatal case, along with previously described pediatric pseudotumor of the bladder, show the potential for spontaneous regression of these lesions and emphasizes the importance of balancing the potential risks and benefits of aggressive diagnostic or therapeutic interventions. Frequent diagnostic imaging and close follow-up should be considered as an alternative in young pediatric populations.
Department of Clinical Pharmacology, Children's National Medical Center, Washington, DC, USA.
Samira
S
Samiee-Zafarghandy
Department of Surgery, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Luis
L
Guerra
Department of Diagnostic Imaging, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Kaldoun
K
Koujok
Department of Diagnostic Imaging, Hospital Materno-Infantil San Joan de Deu, Barcelona, Spain.
Monica
M
Rebollo-Polo
Department of Surgery, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Thierry
T
Daboval
D020878:Device Removal; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D006104:Granuloma, Plasma Cell / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D018608:Ultrasonography, Doppler; D001743:Urinary Bladder / Q000000981:diagnostic imaging*; D062885:Urinary Catheters