Bladder wall abscess is rare. Only three cases on adult patient that were documented [1,2,3]. A young man presented with significant dysuria and severe discomfort in the perineum [1], an elderly woman presented with a psoas abscess [2], and a 20-year-old male presented with a 2-week history of suprapubic pain, lethargy and intermittent fever [3]. In paediatric cases, spontaneous bladder wall abscesses are present in the neurogenic bladder [8, 9]. Bladder wall abscesses, among those that have been documented, exhibit a diverse array of clinical characteristics and presentations within healthcare facilities.

Our patient complained of suprapubic pain and LUTS, and had no prior urological, enterological and ginecological diseases. The observed variations could potentially be attributed to anatomical varitions between the urinary tracts of males and females, in addition to the patient’s age. The bladder lesion remained unidentified due to her lack of documented attendance at routine healthcare facilities. Recurrent urinary tract infections (UTIs) can induce abscess development. It is well established that recurrent infections induce changes in the epithelial cell wall during infancy. Furthermore, the immunosuppressive effects of medications that are not prescribed by a physician are a contributing factor. The patients consumed a glass of herb daily, consisting of steroids (dexamethasone) [10, 11]. Additionally, recurrent urinary tract infections have been documented in the patients’ medical histories. This indicates that individuals are afflicted with abscess development in the urinary tract.

The cause of bladder abscess is unknown [1]. Sepsis condition might be one of the possibility factors, although it could be spontaneous. Hematogenous spread might be contributed to the development of a bladder wall abscess during sepsis confitions [3]. In women with bladder wall abscesses, endoscopy intervention with cystoscopy might be a safe procedure with minimal complication and got the patient satisfaction [12].

In conclusion, the pathophysiological mechanisms underlying the development of bladder wall abscess remain unclear. Bladder wall abscesses treated with incision, drainage, and antibiotic treatment yielded satisfactory results.