Urinary Bladder Hemangioma Successfully Treated by Angioembolization with Long-Term Follow-Up: Case Report and Literature Review
Abstract
:1. Introduction
2. Case Report
3. Discussion
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Action | Results |
---|---|
Ultrasound | Incidental finding of large bladder mass |
Computed tomography with contrast medium | Showed a 17.1 × 24.2 mm polypoidal hyper-vascular lesion, as previously described, arising from the urinary bladder wall (and thus unlikely to be arising from the anterior wall of the uterus). |
Cystoscopy | Showed a large, bluish-red, pulsatile, vascularized submucosal mass with large dilated submucosal vessels, a wide-based stalk and no active bleeding in the posterior wall of the urinary bladder, measuring about 2 × 3 cm, with urine cytology negative. |
Biopsy | Due to the vascular nature of the lesion and no active bleeding, the decision was made not to biopsy. |
First angioembolization | Selective catheterization of the left internal iliac artery using a C2 angiocatheter followed by angioembolization of the left superior vesical arteries, approaching from the anterior division of the left internal iliac artery. |
Time | Results |
---|---|
In 2018, recurrence after 5 years of follow-up | US showed a distended UB with a polypoidal soft tissue mass measuring 16 × 16 mm with internal vascularity, nidus in afferent and efferent vessels, and turbulence in the flow. |
In 2018, second angioembolization | The patient underwent selective catheterization of the left internal iliac artery using a C2 angiocatheter; selective angiography revealed recanalization of the previously embolized left superior vesical arteries from the anterior division of the left internal iliac artery and supplying the known intra-resulting AVM. Selective catheterization of the left superior vesical artery using a 3F microcatheter, followed by embolization of the artery, was executed using ONYX. |
In 2022, 5 years after the second angioembolization | Ultrasonography every six months without recurrence, hematuria, or LUTS. During this period, the patient had a successful pregnancy for the second time. |
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Safar, O.; Al-Qahtani, A.; Al-Qahtani, S. Urinary Bladder Hemangioma Successfully Treated by Angioembolization with Long-Term Follow-Up: Case Report and Literature Review. Diagnostics 2023, 13, 875. https://doi.org/10.3390/diagnostics13050875
Safar O, Al-Qahtani A, Al-Qahtani S. Urinary Bladder Hemangioma Successfully Treated by Angioembolization with Long-Term Follow-Up: Case Report and Literature Review. Diagnostics. 2023; 13(5):875. https://doi.org/10.3390/diagnostics13050875
Chicago/Turabian StyleSafar, Omar, Abdulhadi Al-Qahtani, and Saad Al-Qahtani. 2023. "Urinary Bladder Hemangioma Successfully Treated by Angioembolization with Long-Term Follow-Up: Case Report and Literature Review" Diagnostics 13, no. 5: 875. https://doi.org/10.3390/diagnostics13050875