The case of a 73-year-old woman with a history of recent appearance of gross hematuria and diffuse cystic bladder lesions, diagnosed through a bladder biopsy with cystitis cystica glandularis is here in reported. Cystic cystopathy is reviewed. It is caractherized by cysts found diffusely throughout the bladder and it frequently coexists with pelvic lipomatosis in obese patients, such as the one in the case reported. It is considered a premalignant lesion, therefore careful follow-up with periodic cystoscopy is indicated. Cystitis cystica is found more often among males and elders. Macroscopically, it occurs as single or multiple submucosal nodules and the histological findings are the presence of rounded urothelial nests with cystic dilation within the lamina propria and parallel to the urothelial surface.

Cystitis cystica glandularis; cystic bladder lesions; obesity; hematuria