Obstructive Fibroepithelial Polyp Mimicking a Tumor in a 3-Year-Old Child

Abstract

In this article we discusse the case of a 3-year-old child diagnosed with a fibroepithelial polyp of the bladder, a rare benign lesion typically found in infants and children. The child presented with hematuria, suprapubic pain, and dysuria, and an ultrasound revealed a tumor-like vesical process obstructing the left ureteral meatus and causing moderate ipsilateral hydronephrosis. The presence of vascularity on color Doppler raised concerns of a malignancy such as vesical rhabdomyosarcoma or inflammatory pseudotumor. Diagnostic and therapeutic cystoscopy revealed a left ureteral polyp, and complete resection was performed. The pathological examination suggested an inflammatory pseudopolyp, and the patient's outcome was positive. The article discusses the rarity of this condition in children, its clinical symptoms, diagnosis, and management.