A 9-year-old SF DSH was presented for evaluation of hematuria. A bladder urolith had been diagnosed on survey radiographs that had been dissolved with U/R diet. The only abnormality on urinalysis was the presence of Staphylococcus pseudomonas. CBC and serum biochemistry were within reference range.
Bladder mass. Urethral polyps.
Debulking effort may prove fruitful in long-term management in this case. However, clean resection is unlikely. There was no overt evidence of metastatic disease.
A 2.0 x 1.5 cm bladder mass was noted in this patient. The mass was highly vascular and was deriving from the ventral wall with kissing lesions on the dorsal wall. However, early seeding into the urethra may be an issue given the minor, echogenic polypoid changes noted. The pelvic urethra was also dilated and measured 0.25 cm.
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Bladder – interstitial cystitis, neoplasia, chronic cystitis, uroliths, polyploid cystitis, granulomatous cystitis
Kidney – neoplasia, renolith, pyelonephtitis
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