title: Degeneration of the symphysis pubis presenting as a submucosal urinary bladder tumour.
abstract: Urinary bladder sonography is a sensitive diagnostic technique used for visualizing urinary bladder tumours. The aim of our communication is to present a case of a pseudotumour of the urinary bladder originating from the symphysis pubis syndesmosis. A 58-year-old woman was seen by a urologist with symptoms of lower urinary tract infection. Urinary bladder sonography was performed, followed by magnetic resonance imaging. Sonographic images of the bladder showed an exophytic mass on the urinary bladder's anterior wall. A transurethral resection of the tumour was performed. A histopathological examination revealed a necrotic extramural mass, without traits of malignancy. The mass reappeared in the follow-up vesical sonography. Subsequently, its transurethral resection was repeated with the same histopathological findings. The next urinary bladder sonography revealed the presence of the mass again. Pelvic magnetic resonance imaging was performed, which showed advanced degenerative changes in the pubic symphysis syndesmosis that protruded into the bladder, imitating a urinary bladder tumour. To avoid unnecessary surgery, both radiologists and urologists should be made aware that there is a possibility of similar cases in patients. Magnetic resonance imaging enabled correct determination of the primary site of the growth, which, together with the histopathological examination results, influenced the choice of the implemented therapeutic procedures.
authors.affiliation: Department of Urology, Postgraduate Medical Educational Centre, Warsaw, Poland.
authors.forename: Tomasz R
authors.initials: TR
authors.lastname: Szopiński
authors.forename: Iwona
authors.initials: I
authors.lastname: Sudoł-Szopińska
authors.forename: Mariusz I
authors.initials: MI
authors.lastname: Furmanek
authors.forename: Tomasz
authors.initials: T
authors.lastname: Dzik
authors.forename: Piotr L
authors.initials: PL
authors.lastname: Chłosta
authors.forename: Andrzej
authors.initials: A
authors.lastname: Borówka