Large urinary bladder leiomyoma causing right hydronephrosis, a rare case report: diagnosis and management


Large urinary bladder leiomyoma causing right hydronephrosis, a rare case report: diagnosis and management


Manjeet Kumar1, Kailash barwal1, Girish Kumar1, Kalpesh Mahesh Parmar2, Pamposh raina1

1 Department of Urology, IGMC, Shimla, Himachal Pradesh, India
2 Department of Urology, PGIMER, Chandigarh, India


Global Journal of Urology and Nephrology

Background
Leiomyoma of the urinary bladder is a rare tumor despite the routine use of ultrasonography. These tumors are typically asymptomatic, sometimes present with hematuria, dysuria, and bladder outlet obstruction. Leiomyoma is a benign tumor which is detected incidentally and rarely causes upper urinary tract changes. (1, 2) We present an extremely rare case of leiomyoma in urinary bladder causing right hydronephrosis and presenting with flank pain.

Case summary
A 42 years female presented with flank pain in the emergency room as result of hydronephrosis in the right kidney. Imaging of urinary tract revealed 6 x 6.5 cm, a well-circumscribed tumor with right hydroureteronephrosis suggestive of leiomyoma of the urinary bladder. Excision of leiomyoma was done intravesically with preservation of bilateral ureteral orifices’.

Conclusion
Our case highlights despite being a large tumor there was no ureteral involvement. The hydronephrosis was the result of compression from large sized leiomyoma which was successfully managed by excision of leiomyoma.


Keywords: Leiomyoma, urinary bladder, Hydronephrosis, Transurethral biopsy, ureteric orifice

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How to cite this article:
Manjeet Kumar, Kailash barwal, Girish Kumar, Kalpesh Mahesh Parmar, Pamposh raina. Large urinary bladder leiomyoma causing right hydronephrosis, a rare case report: diagnosis and management. Global Journal of Urology and Nephrology, 2019, 2:11


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