Cavernous Hemangioma of the Ureter

Abstract

Ureteral cavernous hemangiomas are an extremely rare, benign tumor. Most cavernous hemangiomas of ureter are diagnosed postoperatively by pathologic examination. A 39-year-old female patient presented with a bladder mass found incidentally by abdominal ultrasound. The patient underwent computed tomography, urine cytology, and cystoscopy. Cystoscopy showed 2 masses protruding from the right ureteral orifice. The ureteral mass was resected endoscopically. The patient was finally diagnosed with cavernous hemangioma in the right ureter. Here we report this case of a ureteral cavernous hemangioma and review the literature. CASE REPORTA 39-year-old woman was referred with a 1.3x1.0 cm hyperechoic mass in the posterior bladder wall detected by abdominal ultrasonography during a regular medical checkup. Her vital signs such as blood pressure, pulse rate, and body temperature were normal, and there were no abnormal findings in blood tests, urinalysis, and urine cytology. A computed tomography

Hemangioma of Ureter: A Diagnostic Dilemma—Managed Surgically Using Robotic Platform

“…2 Ureteral hemangiomas being rare benign tumors and only eight cases have been reported worldwide. 3 To the best of our knowledge, this is the first case report of ureteral hemangioma from India; that too managed surgically using robotic platform.…”

“…In 2% cases there is a synchronous association between urethral and urinary bladder cancer. 3 CT IVU is not useful diagnostic test for distinguishing ureteral benign and malignant tumor because of uncharacteristic ureteral defect seen in these tests. Ureteroscopy plays a vital role in picking the ureteral hemangioma that appears as a mass with intact urothelial lining in the ureter or may protrude into the bladder as a result of ureteral peristaltic movements.…”

“…Majority of ureteral hemangioma are identified by pathologic examination after their removal. 2,3 Role of urine cytology is crucial to rule out a malignant ureteral tumor, and the test should be performed when a ureteral tumor is suspected. In ureteral hemangioma urine cytology is normal.…”