Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 6, 2021; 9(16): 3927-3935
Published online Jun 6, 2021. doi: 10.12998/wjcc.v9.i16.3927
Haemangiomas in the urinary bladder: Two case reports
Gui-Cheng Zhao, Chang-Xing Ke
Gui-Cheng Zhao, Chang-Xing Ke, Department of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming 650101, Yunnan Province, China
Author contributions: All authors participated in the collection of the clinical and pathological data and agreed with its content; Ke CX performed the surgical procedures and assisted with the manuscript review and editing; Zhao GC was the major contributor for writing the manuscript; All authors read and approved of the final manuscript.
Supported by The Project of Yunnan Provincial Health Department, No. 2016NS260.
Informed consent statement: Informed written consent was obtained from the patient for publication of this case report and accompanying images.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chang-Xing Ke, PhD, Chief Doctor, Department of Urology, The Second Affiliated Hospital of Kunming Medical University, No. 374 Dianmian Road, Xishan District, Kunming 650101, Yunnan Province, China. kyfeyke1973@163.com
Received: November 3, 2020
Peer-review started: November 3, 2020
First decision: November 20, 2020
Revised: November 25, 2020
Accepted: April 8, 2021
Article in press: April 8, 2021
Published online: June 6, 2021
Processing time: 192 Days and 7.2 Hours
Abstract
BACKGROUND

Urinary bladder haemangioma is a benign nonurothelial tumour that rarely occurs in paediatric and adolescent patients. Clinical and radiological examinations are not adequate for an accurate diagnosis. The purpose of this serial case report is to raise awareness of urinary bladder haemangioma and appropriate management.

CASE SUMMARY

We described two rare cases of urinary bladder haemangioma that were confirmed by histopathology followed by immunohistochemistry and reviewed the literature on the diagnosis and treatment of patients with this disease. The radical cystectomy was performed with open method surgery associated with an abdominal wall ostomy of the ileal outlet tract for case 1. Case 2 underwent a laparoscopic partial cystectomy. Postoperative pathology confirmed the diagnosis of urinary bladder haemangioma. Haematuria resolved postoperatively, and there was no evidence of tumour recurrence in 3 years follow-up for case 1. Postoperative urinary and pelvic ultrasonography showed no signs of recurrence in 3 mo follow-up for case 2.

CONCLUSION

Careful histopathological and immunohistochemical studies are required to establish the correct diagnosis. There is no “gold standard” treatment for urinary bladder haemangioma, and treatment options are varied for individuals with favourable follow-ups.

Keywords: Haematuria, Haemangioma, Urinary bladder, Case report

Core Tip: Urinary bladder haemangioma is a benign nonurothelial tumour that rarely occurs in paediatric and adolescent patients. Clinical and radiological examinations are not adequate for an accurate diagnosis. We described two rare cases of urinary bladder haemangioma that were confirmed by histopathology followed by immunohistochemistry and reviewed the literature on the diagnosis and treatment of patients with this disease.