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膀胱海绵状血管瘤:1例采用部分膀胱切除术和膀胱扩大成形术治疗的病例

Cavernous hemangioma of the bladder: an additional case managed by partial cystectomy and augmentation cystoplasty.

作者信息

Lahyani Mounir, Slaoui Amine, Jakhlal Nabil, Karmouni Tarik, Elkhader Khalid, Koutani Abdellatif, Andaloussi Ahmed Ibn Attya

机构信息

Mounir Lahyani, Department of Urology B, Ibn Sina Hospital, Morocco.

出版信息

Pan Afr Med J. 2015 Oct 13;22:131. doi: 10.11604/pamj.2015.22.131.7838. eCollection 2015.

Abstract

Cavernous Hemangioma of the Bladder (CHB) is benign and rare lesions. Clinical presentation has no pathognomonic signs although gross painless hematuria is the most frequent complain. CHB is suspected by cystoscopy and radiologic findings and confirmed by pathologic examinations. Management is controversial due to the bleeding risk of this highly vascularized lesion. Partial cystectomy is the treatment of choice for surgically accessible lesions. However, it appears that small lesions could be treated using transurethral resection. Since CHB is a rare case, we report another case treated successfully with a partial cystectomy associated with an augmentation cystoplasy.

摘要

膀胱海绵状血管瘤(CHB)是一种良性且罕见的病变。尽管无痛性肉眼血尿是最常见的症状,但临床表现并无特征性体征。通过膀胱镜检查和影像学检查怀疑为CHB,并通过病理检查确诊。由于这种高度血管化病变存在出血风险,其治疗存在争议。对于手术可及的病变,部分膀胱切除术是首选治疗方法。然而,似乎小病变可以通过经尿道切除术治疗。由于CHB是一种罕见病例,我们报告另一例通过部分膀胱切除术联合膀胱扩大术成功治疗的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/456e/4742025/4f8849bd9af7/PAMJ-22-131-g001.jpg

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