Title:MR Evaluation of an Unusual Intruder of the Bladder: A Bladder Fibroid Case
Report
Volume: 20
Author(s): Zong Yi Chin*, Yee Liang Thian and Yi Ting Lim
Affiliation:
- Department of Diagnostic Imaging, National University Hospital, Singapore
Keywords:
Case report, Urinary bladder, Leiomyoma, Fibroid, Urinary bladder neoplasms
Abstract:
Introduction:
Mesenchymal tumours of the bladder are benign but rare occurrences and represent approximately 1% of all bladder tumours.
Case Report:
We report a case of a large bladder leiomyoma in an asymptomatic patient. A large pelvic mass was discovered incidentally on the bedside
ultrasound scan during a review at the gynecology clinic. Intra-operatively, no mass was seen in the pelvis, and cystoscopy demonstrated an
intravesical mass. It was further evaluated with cystoscopy. MR imaging demonstrated typical features of a bladder leiomyoma. Subsequently, the
patient underwent partial cystectomy, and the mass was removed, which was histologically proven leiomyoma.
Conclusion:
Awareness of this rare clinical entity and identification of its typical radiological features on MR imaging can aid with accurate diagnosis and
preclude unnecessary radical surgery.