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膀胱憩室感染致膀胱壁炎性肿块者较罕见,我院收治1例,现报告如下:女,22岁,未婚。1986年1月2日因尿痛、左下腹包块2月入院。1985年10月开始尿终末痛,但无尿频、尿急、血尿及脓尿,同时发现左下腹包块约5×5cm。既往无泌尿系感染病史。体格检查仅左下腹部可触及5×5cm 包块,边界不清楚,无明显压痛,活动度差。直肠指诊靠宫颈可触及肿物。尿常规阴性,尿细胞检查3次均阴性.腹部平片、静脉尿路造影,逆行性肾盂造影、钡剂灌肠均正常。膀胱造影见膀胱前壁及左侧壁有充盈缺损。B 超检查:膀胱前壁有一突起的实质性回声,突向膀胱外约有5×5cm 不规则的低回声区。膀胱 CT 断层检查:子宫体偏左侧,膀胱前壁增厚,但不均匀,增厚的膀胱壁无明显强化。膀胱镜检查:膀胱顶可见3.5×3.5cm 的赘生物,表面呈大小不等的泡状物,
Bladder diverticulum infection caused by bladder wall inflammatory mass are rare, admitted to our hospital in 1 case, are as follows: Female, 22 years old, unmarried. January 2, 1986 because of dysuria, left lower quadrant mass admission in February. October 1985 began urinary pain, but no urinary frequency, urgency, hematuria and pyuria, and found the left lower quadrant mass about 5 × 5cm. No past history of urinary tract infection. Physical examination only lower left abdomen can reach 5 × 5cm mass, the border is not clear, no significant tenderness, poor activity. Rectal diagnosis by the cervix palpable mass. Urine routine negative, urinary cytology examination 3 times were negative.Plateography, intravenous urography, retrograde pyelography, barium enema are normal. Bladder angiography see the anterior bladder wall and the left wall filling defect. B-ultrasound: the bladder anterior wall has a protuberant substantive echo, protruding outside the bladder about 5 × 5cm irregular hypoechoic area. Bladder CT examination: left uterine body, thickening of the anterior wall of the bladder, but uneven, thickening of the bladder wall was not significantly enhanced. Cystoscopy: Bladder visible 3.5 × 3.5cm of neoplasms, the surface was a bubble of varying sizes,