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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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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2015
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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. |
format | Online Article Text |
id | pubmed-4660712 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
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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