Generic placeholder image

Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Case Report

MR Evaluation of an Unusual Intruder of the Bladder: A Bladder Fibroid Case Report

Author(s): Zong Yi Chin*, Yee Liang Thian and Yi Ting Lim

Volume 20, 2024

Published on: 26 February, 2024

Article ID: e15734056281515 Pages: 5

DOI: 10.2174/0115734056281515240109080108

Price: $65

Abstract

Introduction: Mesenchymal tumours of the bladder are benign but rare occurrences and represent approximately 1% of all bladder tumours. Case Report:

We report a case of a large bladder leiomyoma in an asymptomatic patient. A large pelvic mass was discovered incidentally on the bedside ultrasound scan during a review at the gynecology clinic. Intra-operatively, no mass was seen in the pelvis, and cystoscopy demonstrated an intravesical mass. It was further evaluated with cystoscopy. MR imaging demonstrated typical features of a bladder leiomyoma. Subsequently, the patient underwent partial cystectomy, and the mass was removed, which was histologically proven leiomyoma.

Conclusion: Awareness of this rare clinical entity and identification of its typical radiological features on MR imaging can aid with accurate diagnosis and preclude unnecessary radical surgery.

[1]
Knoll LD, Segura JW, Scheithauer BW. Leiomyoma of the bladder. J Urol 1986; 136(4): 906-8.
[http://dx.doi.org/10.1016/S0022-5347(17)45124-X] [PMID: 3761457]
[2]
Goluboff ET, O’Toole K, Sawczuk IS. Leiomyoma of bladder: Report of case and review of literature. Urology 1994; 43(2): 238-41.
[http://dx.doi.org/10.1016/0090-4295(94)90053-1] [PMID: 8116123]
[3]
Khater N, Sakr G. Bladder leiomyoma: Presentation, evaluation and treatment. Arab J Urol 2013; 11(1): 54-61.
[http://dx.doi.org/10.1016/j.aju.2012.11.007] [PMID: 26579246]
[4]
Chen M, Lipson SA, Hricak H. MR imaging evaluation of benign mesenchymal tumors of the urinary bladder. AJR Am J Roentgenol 1997; 168(2): 399-403.
[http://dx.doi.org/10.2214/ajr.168.2.9016215] [PMID: 9016215]
[5]
Sundaram CP, Rawal A, Saltzman B. Characteristics of bladder leiomyoma as noted on magnetic resonance imaging. Urology 1998; 52(6): 1142-3.
[http://dx.doi.org/10.1016/S0090-4295(98)00333-1] [PMID: 9836573]
[6]
Hricak H, Tscholakoff D, Heinrichs L, et al. Uterine leiomyomas: Correlation of MR, histopathologic findings, and symptoms. Radiology 1986; 158(2): 385-91.
[http://dx.doi.org/10.1148/radiology.158.2.3753623] [PMID: 3753623]
[7]
Maya MM, Slywotzky C. Urinary bladder leiomyoma: Magnetic resonance imaging findings. Urol Radiol 1992; 14(1): 197-9.
[http://dx.doi.org/10.1007/BF02926929] [PMID: 1290211]
[8]
Wong-You-Cheong JJ, Woodward PJ, Manning MA, Sesterhenn IA. From the Archives of the AFIP: Neoplasms of the urinary bladder: Radiologic-pathologic correlation. Radiographics 2006; 26(2): 553-80.
[http://dx.doi.org/10.1148/rg.262055172] [PMID: 16549617]
[9]
Fasih N, Prasad Shanbhogue AK, Macdonald DB, et al. Leiomyomas beyond the uterus: Unusual locations, rare manifestations. Radiographics 2008; 28(7): 1931-48.
[http://dx.doi.org/10.1148/rg.287085095] [PMID: 19001649]
[10]
McNall S, Park T, Gopal N, et al. Case series – Prioritizing bladder-sparing treatments in patients with urinary tract leiomyoma: A report of three cases and updated literature review. Can Urol Assoc J 2022; 16(11): E563-8.
[http://dx.doi.org/10.5489/cuaj.7745] [PMID: 35704928]
[11]
Bangash M, Faruqui N, Muhammad AU, Uddin Z. Leiomyoma urinary bladder, mimicking urothelial cancer. J Ayub Med Coll Abbottabad 2021; 33(4): 685-9.
[PMID: 35124930]
[12]
Park JW, Jeong BC, Seo SI, Jeon SS, Kwon GY, Lee HM. Leiomyoma of the urinary bladder: A series of nine cases and review of the literature. Urology 2010; 76(6): 1425-9.
[http://dx.doi.org/10.1016/j.urology.2010.02.046] [PMID: 20947147]
[13]
Mitchell K, Barnard J, Luchey A. Locally recurrent leiomyoma of the bladder refractory to visually complete transurethral resection: An indication for cystoprostatectomy. Case Rep Urol 2019; 2019: 1-3.
[http://dx.doi.org/10.1155/2019/1086575] [PMID: 31534813]
[14]
Erdem H, Yildirim U, Tekin A, Kayikci A, Uzunlar A, Sahiner C. Leiomyoma of the urinary bladder in asymptomatic women. Urol Ann 2012; 4(3): 172-4.
[http://dx.doi.org/10.4103/0974-7796.102667] [PMID: 23248525]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy