Urethral hemangioma in a prepubertal female patient Report of a rare case

作者：Li Chiao Ching; Li Chiao Zhu; Yen Ching Heng; Tsai Wen Chuan; Wu Sheng Tang; Cha Tai Lung; Meng En^*

来源：Medicine, 2017, 96(13): e6502.

DOI：10.1097/MD.0000000000006502

• case report
• female
• hemangioma
• prepubertal
• urethra

Rationale: Urethral hemangiomas commonly occur in men or elderly women. We presented a rare case of urethral hemangioma in a prepubertal female patient.
Patients concerns: An 8-year-old girl had the complaints of bloody staining of clothing, a foul perineal odor, and urethral pain. She was brought to our genitourinary outpatient department for survey and a single, 1-cm compressible reddish nodule at the 10-2 o'clock position in the distal urethra was found.
Diagnoses: Urethral hemangioma in a prepubertal girl was diagnosed after excision of the urethral nodule.
Interventions: Excision with 8 "stay" sutures in the protruding urethral mucosa was performed.
Outcomes: Normal micturition without symptom recurrence was noted at the 3-month follow-up.
Lessons: Urethral hemangioma is also found in prepubertal female patient. Increased physician awareness and early recognition of a urethral hemangioma can avoid unnecessary examinations and patient anxiety. The procedure of excision with 8 "stay" sutures in the protruding urethral mucosa facilitates mobilization from the distal urethra and provides a good surgical view of abnormal proliferative blood vessels. Therefore, the lesion can be removed as clean as possible.

• 出版日期2017-3