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Total endoscopic management of a large bladder leiomyoma

Leiomyoma of the urinary bladder is a very rare entity and represents < 0.5% of all bladder tumours, with only 250 cases reported worldwide to date. We report a case of leiomyoma of the bladder 55 -year-old female presented with chief complaints lower abdomen pain since 1 year associated with int...

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Autores principales: Kalathia, Jaisukh, Agrawal, Santosh, Chipde, Saurabh Sudhir, Agrawal, Rajeev
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660712/
https://www.ncbi.nlm.nih.gov/pubmed/26692681
http://dx.doi.org/10.4103/0974-7796.164858
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author Kalathia, Jaisukh
Agrawal, Santosh
Chipde, Saurabh Sudhir
Agrawal, Rajeev
author_facet Kalathia, Jaisukh
Agrawal, Santosh
Chipde, Saurabh Sudhir
Agrawal, Rajeev
author_sort Kalathia, Jaisukh
collection PubMed
description Leiomyoma of the urinary bladder is a very rare entity and represents < 0.5% of all bladder tumours, with only 250 cases reported worldwide to date. We report a case of leiomyoma of the bladder 55 -year-old female presented with chief complaints lower abdomen pain since 1 year associated with intermittency, burning, frequency and hesitancy in micturation. Bimanual examination of the patient revealed a mass on the right side near the bladder neck. USG suggested a well circumscribed polypoidal soft tissue lesion seen projecting in urinary bladder lumen and attached to the posterior wall and base of bladder with no internal vascularity. On cystoscopic examination, large smooth sessile growth arising from the right postero-lateral wall was noted with right ureteric orifice not visualized. Magnetic resonance imaging showed Large well defined rounded soft tisssue lesion close to anterior surface of the cervix and vagina which was Isointense to the skeletal muscles on T1 and T2 images with small focal irregular cystic areas of necrosis seen. It could be urinary bladder neoplasm or sub serosal cervical fibroid. Transurethral resection of tumor was performed. The pathologic diagnosis was leiomyoma of the bladder. We discuss the diagnosis and management of leiomyoma of the bladder and briefly review the literature.
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spelling pubmed-46607122015-12-11 Total endoscopic management of a large bladder leiomyoma Kalathia, Jaisukh Agrawal, Santosh Chipde, Saurabh Sudhir Agrawal, Rajeev Urol Ann Case Report Leiomyoma of the urinary bladder is a very rare entity and represents < 0.5% of all bladder tumours, with only 250 cases reported worldwide to date. We report a case of leiomyoma of the bladder 55 -year-old female presented with chief complaints lower abdomen pain since 1 year associated with intermittency, burning, frequency and hesitancy in micturation. Bimanual examination of the patient revealed a mass on the right side near the bladder neck. USG suggested a well circumscribed polypoidal soft tissue lesion seen projecting in urinary bladder lumen and attached to the posterior wall and base of bladder with no internal vascularity. On cystoscopic examination, large smooth sessile growth arising from the right postero-lateral wall was noted with right ureteric orifice not visualized. Magnetic resonance imaging showed Large well defined rounded soft tisssue lesion close to anterior surface of the cervix and vagina which was Isointense to the skeletal muscles on T1 and T2 images with small focal irregular cystic areas of necrosis seen. It could be urinary bladder neoplasm or sub serosal cervical fibroid. Transurethral resection of tumor was performed. The pathologic diagnosis was leiomyoma of the bladder. We discuss the diagnosis and management of leiomyoma of the bladder and briefly review the literature. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4660712/ /pubmed/26692681 http://dx.doi.org/10.4103/0974-7796.164858 Text en Copyright: © Urology Annals http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution NonCommercial ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Kalathia, Jaisukh
Agrawal, Santosh
Chipde, Saurabh Sudhir
Agrawal, Rajeev
Total endoscopic management of a large bladder leiomyoma
title Total endoscopic management of a large bladder leiomyoma
title_full Total endoscopic management of a large bladder leiomyoma
title_fullStr Total endoscopic management of a large bladder leiomyoma
title_full_unstemmed Total endoscopic management of a large bladder leiomyoma
title_short Total endoscopic management of a large bladder leiomyoma
title_sort total endoscopic management of a large bladder leiomyoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660712/
https://www.ncbi.nlm.nih.gov/pubmed/26692681
http://dx.doi.org/10.4103/0974-7796.164858
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