Case 223

Case 223


40-year-old female patient with complains of recurrent infections of the lower urinary tract. Five months in prophylactic nitrofurantoin without therapeutic response. She denies comorbidities or smoking. On examination, overweight, normotensive abdomen, painless to palpation, without visceromegaly, external genitalia without changes. It was asked ultrasound of kidney and urinary tract (Image 1) and Computed Tomography (CT) of the abdomen and pelvis (Image 2). In sequence, it performed transurethral resection of the lesion identified on the images, sending fragments to pathology (Image 3).

Ultrasonography of kidneys and biliary tract, showing the bladder.


Computed tomography (CT) of the abdomen and pelvis with contrast, axial section.


Histopathological section of bladder injury after resection (HE).

Based on the images and clinical history of the patient, the most likely diagnosis is: