title: Leiomyosarcoma of the urinary bladder presenting as life threatening gross hematuria.
abstract: Leiomyosarcomas are a relatively rare tumor entity encountered within the urinary bladder. There are just over 100 cases reported in the medical literature. Herein, we describe a case of leiomyosarcoma presenting initially as a urinary tract infection with lower abdominal pain. A life threatening episode of gross hematuria guided to the final diagnosis and treatment. Due to the rarity of this malignancy, we present this case including a review of the existing literature relative to the diagnosis and treatment.
authors.affiliation: Department of Urology, Texas Tech University Health Sciences Center, Medical Office Plaza, Suite 260, 3502 9th Street, Lubbock, TX 79415, USA. thomas.nelius@ttuhsc.edu
authors.forename: Thomas
authors.initials: T
authors.lastname: Nelius
authors.forename: J
authors.initials: J
authors.lastname: Stevens
authors.forename: C
authors.initials: C
authors.lastname: Samathanam
authors.forename: S
authors.initials: S
authors.lastname: Filleur
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis / Q000628:therapy; D000328:Adult; D000818:Animals; D003937:Diagnosis, Differential; D005260:Female; D006417:Hematuria / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007890:Leiomyosarcoma / Q000175:diagnosis* / Q000628:therapy; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis* / Q000628:therapy