Fibroepithelial Polyp at the Bladder Neck Presenting with Gross Hematuria in a 5-Year-Old Boy.

Autor: Keçeli AM; Department of Radiology, Pediatric Radiology, Konya Training and Research Hospital, Konya, Turkey., Dönmez Mİ; Department of Urology, Pediatric Urology, Konya Training and Research Hospital, Konya, Turkey., Kılınç ANU; Department of Pathology, Konya Training and Research Hospital, Konya, Turkey.
Jazyk: angličtina
Zdroj: Journal of endourology case reports [J Endourol Case Rep] 2020 Sep 17; Vol. 6 (3), pp. 107-109. Date of Electronic Publication: 2020 Sep 17 (Print Publication: 2020).
DOI: 10.1089/cren.2019.0125
Abstrakt: Background: In any age group, gross hematuria is an alarming symptom. A variety of diseases, including urinary tract tumors, urinary tract infections, glomerulonephritis, urinary stone disease, and urinary trauma, can cause gross hematuria. Neoplasms of the urinary tract are definitely the most bothersome among the differential diagnoses. Fibroepithelial polyps (FEPs), in contrast, are mesodermal-originated rare and benign tumors that can be observed in the urinary tract. In this case report, we present a child with an FEP at the bladder neck that was referred because of gross hematuria. Case Presentation: A 5-year-old boy presented with intermittent gross hematuria for 2 weeks. Ultrasonography showed a 2 × 1 cm mucosal surface-borne polypoid lesion at the trigon. Patient underwent cystoscopic evaluation that revealed a polypoid mass located at the bladder neck; however, there were no signs of bladder outlet obstruction in the bladder. Transurethral resection revealed an FEP. Conclusion: Hematuria should be evaluated carefully not only in adults but also in children. FEPs in bladder can mimic bladder carcinoma clinically and radiologically. It should be kept in mind in the differential diagnosis of bladder lesions on imaging modalities in pediatric population.
Competing Interests: No competing financial interests exist.
(Copyright 2020, Mary Ann Liebert, Inc., publishers.)
Databáze: MEDLINE