Bladder carcinoma in pregnancy: unusual cause for frequent urinary tract infection—case report

Abstract

A 34-year-old, non-smoker primigravida has been followed up routinely since 9 weeks of gestation uneventfully until 20 weeks of gestation when she had asymptomatic bacteriuria. She didn’t have any sign of microscopic hematuria. The urine culture was positive for Escherichia coli at 20th weeks, Klebsiella pneumonia at 22nd weeks and Serratia marcescens at 26th weeks of gestation she has been treated according to the antibiogram results. Detailed ultrasonographic examination showed intracavitary protruding 11 9 7 mm hyperechoic mass in the right posterior wall of the bladder (Fig. 1). Then, cystoscopy and transurethral resection of the papillary lesion was performed (Fig. 2). Histopathological examination revealed a non-invasive lowgrade urothelial carcinoma with inverted pattern (TaG1). Urinary tract infection was never found to recur after the cystoscopic resection of the tumor. A healthy, 3,200 g baby girl was delivered at 40 weeks of pregnancy. Control cystoscopic examinations were normal. Two years passed after the diagnosis and there wasn’t any recurrence of the tumour.