Urinary bladder cavernous hemangioma in a 3‐year‐old: A rare case report |
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Authors: | Charles Newton Odongo Raymond Atwine Fred Kirya Patrick Ambrose Okello Eugene Ogwang Moses Acan Felix Bongomin Martin Situma |
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Affiliation: | 1. Faculty of Medicine, Soroti University, Soroti Uganda ; 2. Faculty of Medicine, Mbarara University of Science and Technology, Mbarara Uganda ; 3. Departments of Medical Microbiology & Immunology, and Internal Medicine, Faculty of Medicine, Gulu University, Gulu Uganda |
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Abstract: | Cavernous hemangioma (CH) of urinary bladder occurs relatively infrequently, accounting for 0.6% of all bladder tumors. This tumor may occur sporadically or coexist with other benign and malignant vascular lesions. In this report, we present a rare case of CH in a 3‐year‐old Ugandan girl. A 3‐year‐old girl was referred to Mbarara Regional Referral Hospital (MRRH) for urological evaluation following a 3‐year history of intravaginal swelling, dysuria, and heavy hematuria resulting in anemia. Imaging was consistent with polypoid bladder mass arising from the bladder trigone. Embryonal rhabdomyosarcoma was suspected based on clinical eyeballing. She was worked up for chemotherapy and received 26 cycles of vincristine sulfate, actinomycin‐d, and cyclophosphamide (VAC). Biopsy and fulguration were performed after optimizing the patient. Histopathology confirmed CH. The surgery was uneventful and resulted in complete cure. CH should be considered in the differential diagnosis of childhood genitourinary masses. It is a rare entity in the real‐life clinical practice and therefore can be overlooked. Excision biopsy and histology should be performed before initiating the patients to chemotherapy. CH is very insensitive to chemotherapy and therefore surgery maybe adequate in resource‐limited settings. |
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Keywords: | cavernous hemangioma embryonal rhabdomyosarcoma |
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