Multiple Cavernous Hemangiomas of Urinary Bladder with Atypical Location Managed with Resection & Fulgration of the Base

Background: Cavernous hemangioma of the urinary bladder is a rare vascular benign tumor with incidence 0.6% of urinary bladder tumours that present with painless hematuria [1,2]. Case Presentation: A case of a 27-year-old male patient who presented with painless hematuria recurrent attacks. The patient had no associated lower urinary tract symptoms. Urinalysis revealed significant microscopic hematuria. Imaging studies, including ultrasound of the kidneys, ureters, and bladder, were unremarkable. Intervention: A diagnostic cystoscopy was performed, revealing four sessile red, like cystic lesions on the right lateral wall of the bladder (Figure 1,2). Most common site in urinary bladder are base, posterior wall and trigon [3, 4]. Resection of these masses was conducted, ensuring deep resection into the muscle layer with fulgration of the base (Figure 3). Histopathology: The histopathological examination confirmed the diagnosis of cavernous hemangioma of the urinary bladder. Follow-up: The patient was monitored postoperatively with cystoscopy at 3, 9, and 12 months, all of which showed no recurrence of the lesions. Conclusion: This case emphasizes the importance of considering cavernous hemangioma in the differential diagnosis of painless hematuria and the effectiveness of endoscopic resection in managing this rare condition. Regular follow-up is essential to monitor for recurrence.