Bladder Hemangioma as a Cause of Massive Hematuria: Treatment with Selective Arterial Embolization

Dong Hoon Lim; Dong Joon Han; Hyung Yoon Moon; Chul Sung Kim; Dong Hyun Kim; Sang Joon Jeon; Joon Rho

doi:10.4111/kju.2008.49.3.280

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Lim, Han, Moon, Kim, Kim, Jeon, and Rho: Bladder Hemangioma as a Cause of Massive Hematuria: Treatment with Selective Arterial Embolization

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Korean J Urol 2008;49(3):280-283.

Published online: 17 January 2008

DOI: https://doi.org/10.4111/kju.2008.49.3.280

Bladder Hemangioma as a Cause of Massive Hematuria: Treatment with Selective Arterial Embolization

Dong Hoon Lim, Dong Joon Han, Hyung Yoon Moon, Chul Sung Kim, Dong Hyun Kim¹, Sang Joon Jeon², Joon Rho

¹Departments of Urology and University, Radiology, College of Medicine, Chosun, Gwangju, Korea

²Department of Urology, Veterans Hospital, Gwangju, Korea

교신저자: 노 준 조선대학병원 비뇨기과 광주광역시 동구 서석동 588 501-717, TEL: 062-220-3216, 3210, FAX: 062-232-3210, E-mail: jnrho@chosun.ac.kr

Revised 22 January 2008 Accepted 12 February 2008

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hemangioma of the urinary bladder is a benign, congenital tumor that accounts for 0.6% of all primary bladder neoplasms. The most common symptom is gross hematuria. However, bladder hemangioma as a cause of massive hematuria is rare. The management of patients with hemangioma is controversial and numerous therapeutic approaches are available. Herein, we describe the use of selective arterial embolization to terminate an episode of massive hematuria in an 87-year-old woman with bladder hemangioma.

Keywords: Hemangioma, Urinary bladder, Embolization, Therapeutics

REFERENCES

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Fig. 1.

Cystoscopic findings of bladder hemangioma.

Fig. 2.

Pathologic findings of bladder hemangioma.

Fig. 3.

The abdominal-pelvic CT scan shows protruded masses arising from the anterior wall of the bladder and diffuse thickening of the bladder wall.

Fig. 4.

(A) Pelvic angiography shows contrast staining through the vesical artery in the pelvic cavity. (B) After selective embolization through the right superior vesical artery, the contrast staining disappeared.

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