Department of Radiology and Research Institute of Radiological Science, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea.
Department of Pathology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Ultrasonography. 2015 Jul;34(3):231-4. doi: 10.14366/usg.14056. Epub 2015 Jan 20.
We report a case of multiple hemangiomas involving the urinary bladder in a 4-year-old boy who presented with recurrent episodes of gross hematuria. On ultrasonography, compared with the bladder wall, the lesions presented as multiple isoechoic polypoid intraluminal masses with mildly increased vascularity on color Doppler exam. Cavernous hemangioma was confirmed by cold-cup biopsy, and the all lesions were coagulated with a Holmium laser. Despite their rarity, bladder hemangiomas should be included in the differential diagnosis of multiple intravesical masses in children with gross hematuria.
我们报告了一例 4 岁男孩的多发性膀胱血管瘤病例,该男孩反复出现肉眼血尿。超声检查显示,与膀胱壁相比,病变呈多发性等回声息肉样腔内肿块,彩色多普勒检查显示轻度血管增多。冷杯活检证实为海绵状血管瘤,所有病变均用钬激光凝固。尽管罕见,但膀胱血管瘤应包括在伴有肉眼血尿的儿童多发性膀胱内肿块的鉴别诊断中。