title: [Acute hematuria as first manifestation of bladder urothelioma in a 17-year-old adolescent].
abstract: OBJECTIVE
  To report a case of urothelial tumor of the bladder in a 17-year-old patient that required emergency surgical treatment due to acute hematuria.
  
  
  METHODS
  The clinical history, anatomopathological and immunohistochemical findings are described.
  
  
  RESULTS
  A 17-year-old patient with no remarkable clinical history, consulted at the emergency services for gross hematuria of sudden onset that caused anemia and was refractory to conservative management. Patient evaluation disclosed a bladder lesion that required immediate resection via the transurethral approach to control bleeding. The pathological analysis demonstrated a grade I, Jewett stage 0, pTaN0M0 transitional cell carcinoma of the bladder.
  
  
  CONCLUSIONS
  Urothelial tumors of the bladder are uncommon in patients less than 40 years old. The case described herein is uncommon because of the patient's age and the form of presentation of the tumor, which required emergency surgical treatment. Follow-up and subsequent therapy should be based on the pathological characteristics of the tumor rather the age of the patient.
authors.affiliation: Servicio de Urología, Hospital General Universitario, Murcia, España.
authors.forename: Julián
authors.initials: J
authors.lastname: García Ligero
authors.forename: Jacinto
authors.initials: J
authors.lastname: Navas Pastor
authors.forename: Felipe
authors.initials: F
authors.lastname: García García
authors.forename: Francesc
authors.initials: F
authors.lastname: Serrallach Orejas
authors.forename: Andrés
authors.initials: A
authors.lastname: Sempere Gutiérrez
authors.forename: José Luis
authors.initials: JL
authors.lastname: Rico Galiano
authors.forename: Mariano
authors.initials: M
authors.lastname: Tomás Ros
authors.forename: Luis Oscar
authors.initials: LO
authors.lastname: Fontana Compiano
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D002295:Carcinoma, Transitional Cell / Q000150:complications* / Q000601:surgery; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D008297:Male; D001749:Urinary Bladder Neoplasms / Q000150:complications* / Q000601:surgery
vernacular_title: Hematuria aguda como primera manifestación de urotelioma vesical en adolescente de 17 años de edad.