Bladder hemangioma: An arduous diagnosis of hematuria

Xiao, Lekui; Granberg, Candace F.; Hull, Nathan C.

doi:10.1016/j.radcr.2021.02.032

Cited by 5 publications

(7 citation statements)

References 6 publications

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“…It often presents as isolated hematuria with eventual episodes of gross hematuria [ 30 ]. Multimodal imaging using ultrasound, CT, and magnetic resonance imaging (MRI) enables establishing the location and extent of the hemangioma while in unclear cases, cystoscopy may indicate a source of bleeding [ 31 ].…”

Section: Diagnostic Procedures In the Investigation Of Hematuriamentioning

confidence: 99%

How to define and assess the clinically significant causes of hematuria in childhood

2022

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Given the wide diversity of causes of hematuria, ranging from simple urinary tract infections with rapid recovery to severe glomerulonephritis with fast decline in kidney function, it is essential to recognize the underlying disease. The first objective of the assessment is to determine whether the cause of the hematuria is medically significant. The combination of hematuria with proteinuria, the presence of hypertension, or worsening kidney function can represent signs of progressive kidney disease. Differentiating the various causes of hematuria is often simple and obvious based on the clinical signs and gross appearance of the urine. However, in some instances, additional non-invasive investigations, such as ultrasound imaging, urinary red cell morphology, measurement of calcium and other solutes in the urine, evaluation of kidney function, and protein excretion, are needed to elucidate the nature of the hematuria. Taking a detailed family history can help in establishing the underlying cause in cases of familial hematuria. On the other hand, the decision to perform a kidney biopsy in children with asymptomatic hematuria remains a challenging issue for clinicians. Ultimately, the frequency of diagnosis of glomerular involvement causing hematuria may depend on the threshold for performing a kidney biopsy. The following review will focus on the diagnostics of hematuria, starting with difficulties regarding its definition, followed by various means to differentiate between urinary, glomerular, and other causes, and finally reviewing the most common diseases that, due to their frequency or their effect on kidney function, present a diagnostic challenge in everyday practice.

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Section: Diagnostic Procedures In the Investigation Of Hematuriamentioning

confidence: 99%

How to define and assess the clinically significant causes of hematuria in childhood

2022

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“…After enhancement, the signal was obviously strengthened and then slowly subsided in the delay period; thus, it was considered to be a hemangioma. However, most patients with bladder hemangioma have recurrent painless hematuria[ 12 ]. In addition, sessile, blue, raised masses were found by cystoscopy[ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Nonfunctional bladder paraganglioma misdiagnosed as hemangioma: A case report

Chen¹,

Yang²

2022

WJCC

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BACKGROUND Paraganglioma of the urinary bladder (PUB) is a nonepithelial tumor of the bladder that is also known as bladder pheochromocytoma. The incidence of nonfunctional paraganglioma of the urinary bladder is rare in clinical practice. CASE SUMMARY A case of nonfunctional paraganglioma of the urinary bladder diagnosed and treated in our hospital is reported herein. A 2.5 cm × 2.1 cm moderate-echo mass protruding into the right anterior wall of the bladder was incidentally found during transvaginal color Doppler ultrasound examination. Based on a contrast-enhanced computed tomography scan of the bladder, the right anterior wall of the bladder was considered to present a hemangioma. The patient underwent laparoscopic partial resection of the bladder wall in our hospital, and pathological results showed paraganglioma of the bladder. At present, we have followed up with the patient for half a year, and there has been no recurrence of the tumor. CONCLUSION The imaging patterns of PUB and bladder hemangioma are similar. In clinical practice, the possibility of PUB should be considered for a single wide-based isoechoic mass in the bladder, especially functional PUB may cause some adverse effects during surgery.

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Section: Diagnosismentioning

confidence: 99%

“…Magnetic resonance imaging (MRI) has been reported to be valuable in the diagnosis of soft-tissue hemangiomas [16]. Hemangiomas show low to moderate signal intensity on T1-weighted images and marked hyperintense signal on T2-weighted sequences [13,16,17]. MRI can be used to determine the extent, size, and location of the tumor in three dimensions (axial, coronal, and sagittal) [13].…”

Section: Diagnosismentioning

confidence: 99%

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Hemangioma of the Urinary Bladder: A Brief Narrative Review of Their Diagnosis, Histology, and Treatment Options

Garaz,

Stühler,

Stenzl

et al. 2024

Urol Int

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Background: Hemangioma of the urinary bladder is a rare benign tumor. Although benign, their presenting symptoms are alarming for both patients and doctors, and their rarity makes them challenging to correctly diagnosis and treat. This review paper summarizes current knowledge about hemangioma of the urinary bladder, treatment options, and follow-up modalities. Summary: After the kidney, the bladder is the second most common location of hemangiomas in the urinary tract. There is painless gross hematuria on clinical presentation once the lesion has eroded the urothelium. MRI has been reported to be valuable in diagnosing soft-tissue hemangiomas. Cystoscopic findings of a sessile, blue, multilocular mass suggest hemangioma. Most tumors are solitary, smaller than three cm, and have smooth or irregular surfaces. Histologically, lesions comprise numerous proliferative capillaries with thin-walled, dilated, blood-filled vessels lined with flattened endothelium. The treatment of patients with hemangioma has been controversial. It depends on the tumor size and the degree of penetration. The prognosis of these tumors is excellent. Key messages: Despite the widespread use of MRI, CT, and endoscopy in evaluating hematuria, hemangioma remains one of the rarest bladder tumors. Moreover, only a histological examination can confirm the diagnosis. Transurethral resection, fulguration, and YAG laser ablation are standard treatments for small tumors. In terms of follow-up, cystoscopy after six months of treatment helps to assess recurrence. In addition, MRI is a practical, noninvasive technique for follow-up of small hemangiomas.

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Bladder hemangioma: An arduous diagnosis of hematuria

Cited by 5 publications

References 6 publications

How to define and assess the clinically significant causes of hematuria in childhood

How to define and assess the clinically significant causes of hematuria in childhood

Nonfunctional bladder paraganglioma misdiagnosed as hemangioma: A case report

Hemangioma of the Urinary Bladder: A Brief Narrative Review of Their Diagnosis, Histology, and Treatment Options

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