“Essential Hematuria” Due to a Renal Haemangioma

Abstract

ALTHOUGH renal hzmangiomas are rare, they have been recorded with increasing frequency. Thus Swan and Balme (1935) collected 35 cases from the literature, Rappoport (1945) 44 cases, Ferguson et al. (1955) 75 cases, Edward et al. (1962) 123 cases, andHagen (1963) 148 cases. Some cases have undoubtedly remained unrecorded, and others received but brief mention in larger works, for example the cases of Luck6 and Schlumberger (1957) and of Allen (1962). It is to re-emphasise that renal hzmangiomas may be the cause of " essential hamaturia " that we are reporting an additional case.Case Report.-Miss I. L., aged 67 years, was admitted to a gynaecological ward in September 1967 with a four-day history of " vaginal bleeding ". On admission it was evident that the bleeding was not vaginal but from the urinary tract, and as a clotting defect was suspected she was transferred to a medical ward.Prior to this attack she had had excellent health and had never had any urinary complaints, nor had she had any vaginal bleeding since the menopause at the age of 44, and she had no history suggestive of a bleeding or clotting disorder.

Benign lateralizing haematuria: the impact of upper tract endoscopy

“…Thirty‐eight years later, Webb‐Johnson and Turner‐Warwick [31] described two cases of essential haematuria treated by nephrectomy in which small haemangiomas of the renal papilla were found, and concluded that, ‘Many cases of essential haematuria which have been explained in other ways may have been due to small angiomata which have been missed’. Subsequently, reports of renal haemangiomas presenting as BLH have been published occasionally [32–35], including one report of suspected bilateral renal haemangiomas [36].…”