case_images: PMC8202316_01
case_images: Photomicrograph of bladder biopsy showing superficial nests of urothelial mucosa with cystic change in the background of chronic inflammation.
case_images: 10.1177_17562872211022465-fig1.jpg
case_images: PMC8202316_01_10.1177_17562872211022465-fig1.jpg
case_images: fig1-17562872211022465
case_images: Biopsies of the abnormal bladder urothelium noted multiple foci of CCEG (Figure 1) and no evidence of dysplasia, malignancy, tuberculosis, or schistosomiasis.
case_images: Anterograde study at the time of cystoscopy showing complete bilateral vesicoureteric junction obstruction with no contrast passing from the ureter into the bladder.
case_images: 10.1177_17562872211022465-fig2.jpg
case_images: PMC8202316_01_10.1177_17562872211022465-fig2.jpg
case_images: fig2-17562872211022465
case_images: Bilateral percutaneous nephrostomies were inserted forthwith, and bilateral anterograde pyelography revealed distended ureters with complete obstruction at the level of both vesicoureteral junctions (Figure 2).
case_images: CT cystogram showing a good capacity bladder with no evidence of pelvic lipomatosis.
case_images: 10.1177_17562872211022465-fig3.jpg
case_images: PMC8202316_01_10.1177_17562872211022465-fig3.jpg
case_images: fig3-17562872211022465
case_images: CCEG, generally regarded as self-limiting, to resolve. Computed tomography (CT) cystogram showed a good capacity bladder, with no evidence of pelvic lipomatosis (Figure 3).
case_images: Cystoscopic view showing nodular lesion over the right ureteric orifice (a) with the slit-like right ureteric orifice visible after careful transurethral resection of the bladder lesion (b).
case_images: 10.1177_17562872211022465-fig4.jpg
case_images: PMC8202316_01_10.1177_17562872211022465-fig4.jpg
case_images: fig4-17562872211022465
case_images: Careful resection of the remaining lesions on the trigone exposed slit-like ureteric orifices (Figure 4), but unfortunately, these orifices could not be catheterised.