女性32岁,间歇性肉眼血尿四年,近40天停经,伴尿急尿痛,查心肺正常,肝脾未及,子宫40天妊娠大小,左侧卵巢4×4cm大小,下腹部可模到包块。 B超检查:膀胱充盈后,显示子宫增大,宫内有妊娠囊反射,囊壁后周围有强回声。囊内可见胎芽及原始心管搏动,膀胱内探到7×4cm~2实性肿块,表面呈分叶状,其内质地不均,基底较宽,由膀胱右前壁向腔内突出。浆膜层连续性可见。膀胱内透声良好。B超诊断:膀胱肿瘤并早孕。 手术见膀胱浆膜层光滑,切开膀胱后见肿块位于右前壁,表面充血,呈分叶状,基底较宽,触之较软,不支持恶性肿瘤,遂行膀胱部分切除。病理报告:膀胱血管瘤。 小结:膀胱血管瘤一般认为属先天性,生长缓慢,多见于小儿及青年人,据统计67％年龄在16岁以下,临床症状以血尿为主,病变主要发生于膀胱 Female 32 years old, intermittent gross hematuria four years, nearly 40 days menopause, with acute urinary pain, check the normal heart and lungs, liver and spleen not the size of 40 days pregnant uterus, the left ovary 4 × 4cm size, the lower abdomen can be modeled Mass. B-ultrasound: After filling the bladder, showing increased uterus, intrauterine gestational sac reflex, surrounded by a strong echo after the wall. Vesicles and primitive cardiac catheterization can be seen within the bladder, bladder exploration to 7 × 4cm ~ 2 solid mass, the surface was lobulated, its uneven texture, the base is wide, from the anterior wall of the bladder protruding to the cavity. Serous layer continuity can be seen. Tone sound inside the bladder. B-ultrasound diagnosis: bladder cancer and early pregnancy. Surgery, see the bladder serosal smooth, cut the bladder see the mass in the right anterior wall, the surface congestion, lobulated, wide base, touching the soft, does not support malignant tumor, partial bladder resection. Pathology report: Bladder hemangioma. Summary: Bladder hemangioma is generally considered to be congenital, slow growth, more common in children and young people, according to statistics, 67% of the patients under the age of 16, the main clinical symptoms of hematuria, the lesion occurs mainly in the bladder