Urinary bladder carcinoma

Case contributed by Dr Arthur Daire

Presentation

Presented with history of haematuria and urinary frequency for 4 months. Lower abdominal fullness. On examination was found to have a lower abdominal mass. On ultrasound a bladder mass and left side duplex system was suspected with hydronephrosis of both moieties.

Patient Data

Age: 48
Modality: CT

There is a large heterogenous mass in the right superolateral aspect of the bladder, causing obstruction of the right kidney. A right duplex system is evident, with hydronephrosis of both moieties.

A right ovarian cyst is also evident.

Case Discussion

 A transitional cell carcimoma of the urinary bladder was confirmed  after cystoscopy and biopsy. infection by schistosomiasis (which is endemic in the area where the patient originated) is a known risk factor for bladder cancer. The right duplex system was in incidental findings in this case.

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Case Information

rID: 31341
Case created: 2nd Oct 2014
Last edited: 22nd Oct 2016
System: Urogenital
Inclusion in quiz mode: Included

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