case_images: PMC9807346_01
case_images: Cystoscopic images taken during a biopsy for diagnostic assessment: (a) Ulcerated pseudopolypoid lesion on the bottom of the bladder; (b) endoscopic biopsy of the postero-lateral wall of the urinary bladder; (c) resection bed: normal tissue layers are not visible.
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case_images: PMC9807346_01_IJU5-6-8-g001.jpg
case_images: iju512533-fig-0001
case_images: Cystoscopy showed inflammation of the mucosa and an ulcerated pseudopolypoid lesion on the bottom of the bladder (Fig. 1).
case_images: Biopsy of the posterior wall of the urinary bladder, compatible with the diagnosis of HE. (a) Severe inflammation extended to the muscular layer; (b) occasional multinucleated giant cells and foci of necrosis (hematoxylin-eosin x100); (c) eosinophilic infiltrate (Hematoxylin-eosin x400); (d) numerous eosinophils in chorion (Giemsa x400).
case_images: IJU5-6-8-g003.jpg
case_images: PMC9807346_01_IJU5-6-8-g003.jpg
case_images: iju512533-fig-0002
case_images: The histological examination (Fig. 2) revealed a rich eosinophilic-giant cell lympho-granulocyte infiltrate with granulomatous aspects and some necrotic focus, in the absence of peripheral hypereosinophilia.
case_images: (a) Uro-CT showing hypervascularization around the bladder, thickening of posterolateral wall, an effusion due to vesical rupture in the anterolateral wall and enlargement of locoregional lymph nodes; (b) chart diagram with time showing the clinical course with symptoms, exams, and therapies.
case_images: IJU5-6-8-g002.jpg
case_images: PMC9807346_01_IJU5-6-8-g002.jpg
case_images: iju512533-fig-0003
case_images: Triphasic contrast CT highlighted flogosis of the maxillary sinuses and low-capacity urinary bladder with thickening of the posterolateral wall and an effusion nearby the resection area (Fig. 3).