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Arteriovenous malformations of the bladder
I Grunberger1, A DeAsis, R Torno
1Department of Urology, Long Island College Hospital, Brooklyn, New York 11201.
The Journal of Urology
|January 1, 1989
Summary
A rare bladder arteriovenous malformation mimicked a tumor, causing gross hematuria. This localized vascular anomaly was successfully treated with transurethral resection.
Area of Science:
- Urology
- Vascular Surgery
- Diagnostic Imaging
Background:
- Arteriovenous malformations (AVMs) are rare vascular anomalies.
- Bladder tumors are common differential diagnoses for hematuria.
- Localized AVMs can present insidiously, mimicking neoplastic processes.
Observation:
- A patient presented with gross hematuria, a concerning symptom often associated with bladder cancer.
- Imaging and clinical examination revealed a localized mass within the bladder.
- The presentation mimicked a bladder tumor, necessitating thorough investigation.
Findings:
- Histopathological examination confirmed a localized arteriovenous malformation (AVM) of the bladder.
- The AVM was the source of the gross hematuria.
- The vascular lesion was successfully differentiated from a neoplastic mass.
Implications:
- This case highlights the importance of considering rare vascular lesions in the differential diagnosis of bladder masses and hematuria.
- Transurethral resection is a viable and effective treatment option for localized bladder AVMs.
- Accurate diagnosis and minimally invasive treatment can lead to favorable patient outcomes.