Bladder leiomyoma: Rare presentation as a pelvic mass (original) (raw)

Giant leiomyoma of the urinary bladder: A case report

Urogynaecologia

Urinary bladder leiomyoma is a rare tumour accounting for less than 0.5% of all urinary bladder tumours. Till now, less than 250 cases were documented with variable sizes, most of them were less than 10 cm in maximum diameter. Here we present a 68- year-old female patient with urinary bladder giant leiomyoma measuring about 13 cm. She presented with right loin pain. Postcontrast computed tomography of the abdomen and pelvis revealed a large posterolateral right-sided urinary bladder mass with moderate right hydroureteronephrosis. It was managed by partial cystectomy. The patient had an uneventful postoperative course. Postoperative pathological examination of the specimen confirmed giant leiomyoma of the urinary bladder.

A 53-year-old female with bladder leiomyoma: A rare case and review of the literature

Annals of Clinical and Analytical Medicine

Leiomyoma as a benign tumor of the urinary bladder, is uncommon and usually presents with obstructive voiding symptoms or irritative urinary symptoms. A 53-year-old woman was hospitalized to the general surgery clinic due to abdominal pain. During her contrast-enhanced computed tomography (CT) examination, incidentally, a mass on the left anterosuperolateral side of the bladder wall was revealed. No significant finding was detected on physical examination. There was only microscopic hematuria as a result of urinalysis. Contrast-enhanced CT confirmed the presence of a mass on the left anterosuperolateral side of the bladder wall without evidence of extravesical extension and showed a well-delineated 2,6 cm x 2,4 cm endovesical bladder tumor arising from the left anterosuperolateral bladder wall and there was a thickening of the urinary bladder wall. On cystoscopy, an intraluminally protruding, rounded, smooth, sessile solid mass, 2,5 cm in diameter and covered by normal bladder mucosa, was seen. She underwent an uneventful transurethral resection of bladder tumor (TURBT) and histological examination revealed intersecting fascicles of smooth muscle without any evidence of malignant change, and thus diagnosis of leiomyoma was confirmed. Confirmation of the diagnosis may be difficult due to the poor yield of cold cup biopsy. In our case, transurethral resection (TUR) was diagnostic.

Leiomyoma of the Urinary Bladder: A Review and Update

Journal of Clinical and Translational Urology, 2019

Leiomyoma of the urinary bladder / leiomyoma of the ureter is a very rare benign tumour of smooth muscle origin which has been reported sporadically globally. Leiomyoma of the urinary bladder/ureter may be diagnosed incidentally during investigation of various conditions including infertility and hepatitis. Leiomyoma of the urinary bladder / ureter may manifest in female as well as in a male patient with non-specific symptoms including lower urinary tract symptoms / retention of urine, haematuria, loin pain/discomfort, urinary tract infections and cystitis. The general and systematic examinations may be normal but at times there may be a palpable mass within the area of the urinary bladder on bimanual examination but not always. There may occasionally be tenderness in the loin. The results of routine haematology and biochemistry blood tests would generally tend to be normal but there may be anaemia and impairment of renal function some cases of visible haematuria and obstruction of ...

Total endoscopic management of a large bladder leiomyoma

Urology Annals, 2015

Mesenchymal tumors of the bladder are relatively rare and heterogenous group of neoplasms, which constitute 1-5% of all bladder tumors. Leiomyoma is the most common type that accounts for around 0.43% of all bladder tumors. [1] The incidence of bladder leiomyoma is 3 times higher in women than in men. [2] Typically, it occurs in the 4 th and 5 th decades of life. The patients complain of nonspecific urinary symptoms or pelvic pain. [3] We are presenting a case of an elderly woman presented with chronic pelvic pain and irritative urinary symptoms. On imaging, a large mass was found in urinary bladder, occupying three-fourth of its lumen. We opted for the minimally invasive endoscopic approach to treat this tumor. The histology showed benign leiomyoma. On follow-up, there was no recurrence. We are describing here the various presentations and treatment modalities of this rare bladder tumor. CASE REPORT A 55-year-old female came with complaints of on and off right lower quadrant abdominal pain for 1-year. The patient also had urinary complaints such as intermittency, burning, Leiomyoma of the urinary bladder is a very rare entity and represents <0.5% of all bladder tumours, with only 250 cases reported worldwide to date. We report a case of leiomyoma of the bladder 55-year-old female presented with chief complaints lower abdomen pain since 1 year associated with intermittency, burning, frequency and hesitancy in micturation. Bimanual examination of the patient revealed a mass on the right side near the bladder neck. USG suggested a well circumscribed polypoidal soft tissue lesion seen projecting in urinary bladder lumen and attached to the posterior wall and base of bladder with no internal vascularity. On cystoscopic examination, large smooth sessile growth arising from the right postero-lateral wall was noted with right ureteric orifice not visualized. Magnetic resonance imaging showed Large well defined rounded soft tisssue lesion close to anterior surface of the cervix and vagina which was Isointense to the skeletal muscles on T1 and T2 images with small focal irregular cystic areas of necrosis seen. It could be urinary bladder neoplasm or sub serosal cervical fibroid. Transurethral resection of tumor was performed. The pathologic diagnosis was leiomyoma of the bladder. We discuss the diagnosis and management of leiomyoma of the bladder and briefly review the literature.

Endourological Treatment of Bladder Leiomyoma

Gazi Medical Journal, 2008

Leiomyoma is a benign, mesenchymal tissue originated, rare tumor of the bladder. Mostly, bladder leiomyomas are asymptomatic and found incidentally. A female predominance is found. We describe a female patient with leiomyoma of the bladder who presented with pelvic pain and in whom bladder preserving surgery was performed. The literature is reviewed and the management is discussed.

Imaging findings of atypical leiomyoma of urinary bladder simulating ureterocele

Journal of surgical case reports, 2022

Bladder leiomyomas are relatively rare benign tumors of the bladder. They represent <0.5% of all urinary bladder tumor. In the literature, only about 250 cases reported worldwide. They are commonly found in middle-aged females. Patients present with variety of clinical presentations with predominance of obstructive urinary symptoms. Ultrasound bladder is the first preferable diagnostic tool. Definitive diagnosis is made by histopathological examination. Surgical excision is almost highly effective, leaving a low recurrence rate. We report a 34-year-old male who presented with complaints of dysuria and incomplete voiding. Ultrasound showed a cystic f luid-filled bladder mass (ureterocele), which was excised through a transurethral resection. The histopathologic diagnosis was bladder leiomyoma.

Laparoscopic removal of a bladder leiomyoma

The Journal of the American Association of Gynecologic Laparoscopists, 1998

Bladder leiomyoma is a rare tumor that is generally removed by transabdominal, vaginal, and transurethral approaches. We successfully removed a large, transmural, extravesical bladder leiomyoma by laparoscopy.

Bladder leiomyoma with right hydronephrosis

International Urogynecology Journal, 2006

The authors describe one female patient with leiomyoma of the bladder who presented with female pseudoprostate and right hydronephrosis. A computed tomography (CT) of the pelvis revealed a soft tissue mass, circumferential and heterogenous in appearance with some calcification inside the mass. Bladder leiomyoma might be one of the differential diagnoses with CT imaging findings of female pseudoprostate.