Bladder TumourClinical HistoryA 91-year old man with sudden health deterioration and in critical condition presented with haematuria, anaemia, thrombocytopaenia, and abnormal LFT. An abdominal ultrasound was requested as a first line of imaging.Case DescriptionUltrasound revealed a 7 cm heterogeneous mass in the urinary bladder (bladder tumour) with an irregular outline. The liver appeared enlarged with heterogeneous parenchymal echotexture and multiple hypoechoic lesions throughout, suggestive of metastases.Diagnosis/ Discussion/ Treatment/ Follow-upUnfortunately, the patient passed away.SonogramsLeft lobe of the liver in a longitudinal orientation with multiple hypoechoic lesionsLeft lobe of the liver in a transverse orientation showing multiple hypoechoic lesionsRight lobe of the liver containing multiple lesions, and showing the portal veinThe portal vein on colour Doppler imaging showing normal hepatopetal flowSonogram of the partly filled urinary bladder showing a bladder wall massTagged:Case of The MonthPublished on: September 19, 2024
