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Updated on November 26, 2024

Bladder Tumour

Clinical History

A 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 Description

Ultrasound revealed a 7 cm heterogeneous mass (bladder tumour) in the urinary bladder with an irregular outline. The liver appeared enlarged with heterogeneous parenchymal echotexture and multiple hypoechoic lesions throughout, suggestive of metastases.

Diagnosis/ Discussion/ Treatment/ Follow up

Unfortunately, the patient passed away.

Sonograms

Left lobe of the liver in a longitudinal orientation with multiple hypoechoic lesions
Left lobe of the liver in a longitudinal orientation with multiple hypoechoic lesions
Left lobe of the liver in a transverse orientation showing multiple hypoechoic lesions
Left lobe of the liver in a transverse orientation showing multiple hypoechoic lesions
Right lobe of the liver containing multiple lesions, and showing the portal vein
Right lobe of the liver containing multiple lesions, and showing the portal vein
The portal vein on colour Doppler imaging showing normal hepatopetal flow
The portal vein on colour Doppler imaging showing normal hepatopetal flow
Sonogram of the partly filled urinary bladder showing a bladder wall mass (bladder tumour)
Sonogram of the partly filled urinary bladder showing a bladder wall mass

Published on: September 19, 2024

Author

Sonohive

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