Locally invasive urinary bladder cancer

Case contributed by Mohammad Niknejad
Diagnosis almost certain

Presentation

Abdominopelvic pain and chronic constipation.

Patient Data

Age: 60 years
Gender: Male
Frontal
Frontal
Lateral
Oblique
Oblique
Frontal
Frontal
Oblique
Oblique
Oblique
Frontal
Download
Info

On contrast barium study; dolichocolon is evident. There is short segment stricture with shouldering appearance and apple core sign at sigmoid colon suggestive for tumoral infiltration. 

This study is a stack
Axial
non-contrast
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Axial C+
delayed
This study is a stack
Axial C+
delayed
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
Download
Info

A large mass was seen in anterosuperior aspect of urinary bladder, transgressing its wall and creating perivesical mass. Necrosis with gas bubbles are seen in the mass. In addition,
increased wall thickness with luminal narrowing was seen in the adjacent sigmoid colon.

Four cysts with smooth and thin wall, sharp and distinct marginations, and homogenous water density was seen in left kidney. After IV contrast media, they do not enhance and have no discernible wall thickness. 
Additionally, few small stones were seen in both renal calyces. 

Case Discussion

Urinary bladder mass (pathology proven carcinoma) with internal necrosis and local spread .

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.