Fibrinous cystitis and bladder rupture

This nuttered 5-year-old male’s clinical history mentioned recurrent cystitis that resulted in bladder wall irregularity and caused the bladder to rupture. The rupture point was millimetric. Below, the images of the now open bladder show fibrinous cystitis, in which fibrin has formed a mould that fills the bladder lumen. Note the urethral dilation. Microbiological analysis isolated multiresistent Corynebacterium urealyticum (susceptible only to vancomicin).

design by R Noiva