Bladder leiomyoma masquerading as a ureterocele.
Peter Grice1, Sophie O'Dowd2, Richard Parkinson2
1Northampton General Hospital NHS Trust, Northampton, UK peter.grice@nhs.net.
BMJ Case Reports
|June 16, 2021
Summary
A bladder leiomyoma was misdiagnosed as a ureterocele, causing prolonged urinary symptoms. This common benign bladder tumor requires careful differential diagnosis to avoid delayed treatment and patient morbidity.
Area of Science:
- Urology
- Oncology
Background:
- Leiomyoma is the most common benign bladder neoplasm.
- Bladder tumors can present with voiding lower urinary tract symptoms.
Observation:
- A case of bladder leiomyoma was initially misdiagnosed as a ureterocele.
- This diagnostic error led to delayed treatment and persistent lower urinary tract symptoms.
Findings:
- Transurethral resection is an effective treatment for bladder leiomyoma.
- Characteristic imaging and cystoscopic findings aid in differentiating leiomyoma from other bladder masses.
Implications:
- Prompt and accurate diagnosis of bladder leiomyoma is crucial to prevent patient morbidity.
- Clinicians should consider leiomyoma in the differential diagnosis of smooth bladder masses.
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