[Bladder leiomyoma. A case report and literature review].
OBJECTIVE
To report a new case of bladder leiomyoma.


METHODS
A 20 mm tumor of the right lateral wall of the bladder was incidentally found in a pelvic ultrasound study of a 29-year-old female. The cystogram showed the presence of a filling defect in the same side. Cystoscopy showed a right lateral wall tumor with normal mucosal cover.


RESULTS
With the working diagnosis of bladder leiomyoma, transurethral resection of the bladder tumor was performed, and pathology confirmed the diagnosis. Postoperatively, the patient developed a calcareous plaque on the resection area which was treated by transurethral resection of the plaque and leiomyoma remainders and subsequence urine acidification.


CONCLUSIONS
Although it is a rare tumor, in certain circumstances it is possible to establish the working preoperative diagnosis with a high index of suspicion. On the other hand, due to the benign character of the process, conservative surgery (transurethral resection in this case) offers excellent results.
Sánchez Merino
José María
JM
Servicios de Urología, del Hospital del Bierzo, León, España. sanchezuro@hotmail.com
Guillán Maquieira
Cristina
C
Galán Ramos
Juan
J
Valerdiz Casasola
Saúl
S
Parra Muntaner
Luis
L
Gómez Cisneros
Sergio Carlos
SC
García Alonso
Jusús
J
D000328:Adult; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis*; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis*