Bladder mass in a young patient

A 27 year old patient came with complaints of lower urinary tract symptoms mainly irritative in nature.The patient was treated outside with multiple courses of antibiotic therapy without relief.The sonography done further showed the bladder mass.The other investigations- including the urine culture,urine for malignant cytology,blood biochemistry and haemtology were essentially normal.

We evaluated her further with triphasic CT scan which revealed cystic enhancing mass in the left superolateral wall of the urinary bladder with no iliac lymphadenopathy.The other intra-abdominal organs were normal.



She was taken up for cystoscopy and biopsy.The mass was extravesical.Adequate biopsy was taken with resectoscope.Hemostasis was achieved.The histopathological report is awaited.