Syu Syuan-Hao, Chan Kai-Sheng, Hsiao Chi-Hao, Chen Wei-Yu, Lee Liang-Ming, Wen Yu-Ching
Department of Urology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Department of Pathology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Urology. 2019 Jan;123:224-226. doi: 10.1016/j.urology.2018.09.033. Epub 2018 Oct 9.
Urinary bladder hemangiomas are rare, especially in children and adolescents. We present a case of a 17-year-old young man with persistent gross hematuria for 1 month. Computed tomography revealed a 3.6 cm mass on the superior anterior wall of the urinary bladder, which was highly suspected as an urachal tumor. We carried out an en bloc resection of the urachus and bladder tumor. The pathologic report indicated a cavernous hemangioma of the urinary bladder. No tumor recurrence or bleeding was found during the 2-year follow-up. Urinary bladder hemangioma is an important differential diagnosis in young patients with hematuria.
膀胱血管瘤较为罕见，尤其在儿童和青少年中。我们报告一例17岁青年男性，持续肉眼血尿1个月。计算机断层扫描显示膀胱前上壁有一个3.6厘米的肿块，高度怀疑为脐尿管肿瘤。我们对脐尿管和膀胱肿瘤进行了整块切除。病理报告显示为膀胱海绵状血管瘤。在2年的随访中未发现肿瘤复发或出血。膀胱血管瘤是血尿年轻患者的重要鉴别诊断疾病。
