Recurrent hydronephrosis and catheter blockage, secondary to an organised bacterial mass within the bladder.
Simon McGurk, Alin Carter, Joseph Robinson et al.
✦ AI-curated · Sources linked
Case in brief
An elderly man with a history of chronic kidney disease and a long-term catheter presented with urosepsis and recurrent catheter blockages. Imaging revealed bilateral hydronephrosis due to a large gas-containing mass in the bladder. Surgical removal of the mass was performed, and microbiological analysis identified Proteus and Aerococcus. The patient recovered and was discharged to residential care.
What made this case unusual
The case highlights the presence of a gas-containing mass within the bladder, which is an atypical finding associated with recurrent catheter blockages.
Diagnostic / clinical pearl
Clinicians should consider the possibility of an organized bacterial mass in patients with recurrent catheter blockages and hydronephrosis, especially in those with long-term catheters.
Why it matters
This case underscores the importance of imaging in diagnosing unusual complications related to long-term catheter use, which can significantly impact patient management.