Fungal Pneumaturia: A Case Report on a Large Urinary Bladder Fungal Bezoar in a Young Diabetic Male

Abstract

Fungal bezoars or fungus balls are extremely rare cases especially when they occur within the urinary tract. Reported here is a 26-year old diabetic male presenting with pneumaturia, passage of debris per urethra and lower urinary tract symptoms. He was initially managed as a case of enterovesical fistula. Further work-up revealed a urinary bladder fungal bezoar. The patient was managed by endoscopic morcellation and evacuation of the fungal ball from the bladder and anti-fungal therapy. Awareness of this rare clinical entity and its presentation will aid in its proper diagnosis and management.