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

Charles Anthony C. Gaston; Michael John Francis V. Gaston; Marie Carmela M. Lapitan

Vol. 29 No. 2 (2019), Case Report

Vol. 29 No. 2 (2019)

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

Case Report

Published 2019-07-01

Charles Anthony C. Gaston, MD⁺⁻
Michael John Francis V. Gaston, MD, FPUA⁺⁻
Marie Carmela M. Lapitan, MD, FPUA⁺⁻

Charles Anthony C. Gaston, MD

Division of Urology, Department of Surgery, Philippine General Hospital, University of the Philippines Manila

Michael John Francis V. Gaston, MD, FPUA

Division of Urology, Department of Surgery, Philippine General Hospital, University of the Philippines Manila

Marie Carmela M. Lapitan, MD, FPUA

Division of Urology, Department of Surgery, Philippine General Hospital, University of the Philippines Manila

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Keywords

fungal pneumaturia
fungal bezoar
lower urinary tract symptoms

How to Cite

Gaston, C. A. C., Gaston, M. J. F. V., & Lapitan, M. C. M. (2019). Fungal Pneumaturia: A Case Report on a Large Urinary Bladder Fungal Bezoar in a Young Diabetic Male. Philippine Journal of Urology, 29(2), 69–72. Retrieved from https://pjuonline.com/index.php/pju/article/view/93

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.

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