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Gaceta Médica Espirituana
versión On-line ISSN 1608-8921
Resumen
ROCA REGUEIRO, Diamela et al. Bladder leiomyoma. A case report. Gac Méd Espirit [online]. 2021, vol.23, n.2, pp. 115-122. Epub 02-Ago-2021. ISSN 1608-8921.
Background:
Bladder leiomyoma is a benign tumor of mesenchymal origin, derived from smooth muscle fibers, its definitive diagnosis is by histological study; its treatment is surgical with excellent prognosis. Few cases are presented in the literature due to the low incidence of this nature.
Objective:
To report a case diagnosed with a bladder leiomyoma.
Case report:
A 48-year-old female patient, assisted at Camilo Cienfuegos General Provincial Hospital in Sancti Spíritus, diagnosed with left ureterocele. The patient came to consulting 7 years after have presented symptoms of pollakiuria, post-mictional drip and repletion sense afterwards urination. Physical examination showed no general alterations. Renovesical ultrasound showed a cystic image in the left distal ureter, large, thick-walled, occupying almost the entire bladder, with severe left ureterohydronephrosis. Definitive and partially cystectomy surgery was performed with left ureteral reimplantation, presenting good evolution. The result of the anatomopathological diagnosis was a bladder leiomyoma.
Conclusions:
Bladder leiomyoma is a rare neoplasm in the bladder; in the reported case, after surgical treatment, an excellent prognosis was observed.
Palabras clave : URINARY BLADDER NEOPLASMS and surgery; mesenchymal tumor; bladder leiomyoma and diagnosis.