Bladder hemangioma: Case report.

作者：Castillo Octavio A^*; Foneron Alejandro; Sepulveda Francisco; Sanchez Salas Rafael; Martinez Virginia

来源：Archivos Espanoles de Urologia, 2012, 65(6): 623-625.

• Endoscopic treatment
• Bladder hemangioma

OBJECTIVE: Bladder hemangioma is a benign rare lesion. There are no pathognomonic clinical signs and management is controversial due to the bleeding risk. We report a bladder cavernous hemangioma resolved using bipolar transurethral resection. %26lt;br%26gt;METHODS: We review the case of a female patient who presented with asymptomatic hematuria. On cystoscopy we discovered a reddish sessile lesion compatible with bladder hemangioma. We describe the diagnostic work up, surgical management and review other therapeutic alternatives for these lesions. %26lt;br%26gt;RESULTS: Fifty five year old healthy female patient consulting for total painless hematuria. Cystoscopic evaluation revealed a 1 cm diameter sessile reddish elevated lesion near the bladder neck. We performed a transurethral endoscopic resection using the Cyrus Bipolar resectoscope (R). Pathologic report concluded cavernous angioma. %26lt;br%26gt;CONCLUSION: Bladder hemangiomas are benign and rare lesions. Clinical presentation has no pathognomonic signs although gross painless hematuria is the most frequent complain. Management is controversial due to the bleeding risk of this highly vascularized lesion. However, it appears that small lesions could be treated using transurethral resection. Although they have a benign course, follow up is mandatory to detect recurrence or residual disease.

• 出版日期2012-8