We describe 3 patients with fungal infection in the perivesical space
who manifested lower abdominal pain and urinary tract symptomatology.
Imaging studies demonstrated perivesical abnormalities. Urine culture
was positive for fungus in only 1 patient. Management required surgica
l exploration, drainage, debridement of necrotic tissue and in 1 patie
nt partial bladder resection. Systemic antifungal therapy was administ
ered postoperatively. All patients had a successful outcome.