Detection of bladder hemangioma in a child by blood-pool scintigraphy.
Bladder hemangioma is a rare cause of gross hematuria. A 5-year-old boy was investigated for recurrent episodes of asymptomatic gross hematuria, but no abnormalities were found. Blood-pool scintigraphy using (99m)technetium-human serum albumin combined with diethylene triamine penta-acetic acid (DTPA) revealed an area of increased activity in the right side of the bladder, which was confirmed by cystoscopy as a bladder hemangioma. Endoscopic laser therapy was used to remove two lesions successfully that were diagnosed histologically as cavernous hemangioma. The patient had no further episodes of hematuria in the 2-year period after this treatment. This case study indicates blood-pool scintigraphy may be a useful technique for detecting bladder hemangiomas.
Ishikawa
Ken
K
Department of Pediatrics, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, Japan. kenishi@iwate-med.ac.jp
Saitoh
Masahiko
M
Chida
Shoichi
S
D002675:Child, Preschool; D003558:Cystoscopy / Q000379:methods; D005500:Follow-Up Studies; D015637:Gated Blood-Pool Imaging / Q000379:methods*; D006391:Hemangioma / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D053685:Laser Therapy; D008297:Male; D016284:Technetium Tc 99m Pentetate; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery
D016284:Technetium Tc 99m Pentetate