Published online Mar 31, 2008.
https://doi.org/10.4111/kju.2008.49.3.280
Bladder Hemangioma as a Cause of Massive Hematuria: Treatment with Selective Arterial Embolization
Abstract
Hemangioma of the urinary bladder is a benign, congenital tumor that accounts for 0.6% of all primary bladder neoplasms. The most common symptom is gross hematuria. However, bladder hemangioma as a cause of massive hematuria is rare. The management of patients with hemangioma is controversial and numerous therapeutic approaches are available. Herein, we describe the use of selective arterial embolization to terminate an episode of massive hematuria in an 87-year-old woman with bladder hemangioma.
Fig. 1
Cystoscopic findings of bladder hemangioma.
Fig. 2
Pathologic findings of bladder hemangioma.
Fig. 3
The abdominal-pelvic CT scan shows protruded masses arising from the anterior wall of the bladder and diffuse thickening of the bladder wall.
Fig. 4
(A) Pelvic angiography shows contrast staining through the vesical artery in the pelvic cavity. (B) After selective embolization through the right superior vesical artery, the contrast staining disappeared.
References
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Murray WJ, Fletcher MS, Walters HL, Packham DA. Treatment of urethral hemangioma by selective arterial embolization. J Urol 1986;136:1304–1306.
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