[Acute renal failure as the beginning of glandular cystitis. Review of the bibliography]. / Fracaso renal agudo como debut de la cistitis glandular. Revisión de la bibliografía.

OBJECTIVES: To report one clinical case of obstructive uropathy secondary to bladder pseudotumor. METHODS: We report the case of a 74-year-old male with obstructive acute renal failure of unknown etiology. RESULTS: After resolution of the acute renal failure by percutaneous nephrostomy, action was undertaken to control possible etiologic causes, resolving the bilateral ureter entrapment and bladder inflammatory process. CONCLUSIONS: Glandular cystitis is a nosological entity which in its severe forms behaves clinically and radiologically as a bladder pseudotumor, so that should be considered as a part of the differential diagnosis with bladder tumors. Final diagnosis comes from pathology. For treatment, it is basic to eliminate any predisposing factor, either infectious, or irritative, or obstructive; if no action is carried out on these factors other therapeutic measures as the aforementioned are not effective. Strict follow-up should be undertaken (every six months) because of the high incidence of bladder adenocarcinoma.