CASE PROFILE
OF THE MONTH
FIGURE 1. Delayed film of intravenous pyelogram showing bilateral hydronephrosis and large pelvic mass.
FIGURE 2.
286
Cystograms (A) and (B) demonstrating
multiple radiolucent, filling defects in bladder.
UROLOGY
I FEBRUARY1975
I VOLUMEV,
NUMBER2
A two-year-old boy had a suprapubic mass which did not change with urethral catheterization. His hemoglobin was 14 Gm. and blood urea nitrogen 8 mg. per 100 ml. A pelvic mass was present on the plain film of the intravenous pyelogram. There was delayed visualization of the kidneys after injection of the contrast medium. Bilateral hydronephrosis was demonstrated on later films (Fig. 1). Cystography showed multiple lobulated radiolucent, filling defects of varying size, occupying the entire lower portion of the bladder (Fig. 2). These masses which had the appearance of a cluster of grapes were visualized during cystoscopy. Total cystectomy and prostatectomy were done, and urinary diversion was accomplished by means of bilateral ureteroileosigmoidostomy. A large tumor occupying almost the entire interior of the bladder was found (Fig. 3). Histologic
UROLOGY
/ FEBRUARY
1975 !
VOLUME
V, NUMBER
FIGLRE 3. Photomicrograph large tumor appears as cluster almost entire bladder.
examination showed (sarcoma botyroides).
of gross of grapes,
speci ‘ttcn; orcu~~ying
it to be rhabdomyosarcoma
Steven Alexander, nl. D. Bernard D. Pinck, hl. D. 124 Gregory Avenue Passaic, New Jersey 07055
2
“87
OF THE MONTH
FIGURE 1. Delayed film of intravenous pyelogram showing bilateral hydronephrosis and large pelvic mass.
FIGURE 2.
286
Cystograms (A) and (B) demonstrating
multiple radiolucent, filling defects in bladder.
UROLOGY
I FEBRUARY1975
I VOLUMEV,
NUMBER2
A two-year-old boy had a suprapubic mass which did not change with urethral catheterization. His hemoglobin was 14 Gm. and blood urea nitrogen 8 mg. per 100 ml. A pelvic mass was present on the plain film of the intravenous pyelogram. There was delayed visualization of the kidneys after injection of the contrast medium. Bilateral hydronephrosis was demonstrated on later films (Fig. 1). Cystography showed multiple lobulated radiolucent, filling defects of varying size, occupying the entire lower portion of the bladder (Fig. 2). These masses which had the appearance of a cluster of grapes were visualized during cystoscopy. Total cystectomy and prostatectomy were done, and urinary diversion was accomplished by means of bilateral ureteroileosigmoidostomy. A large tumor occupying almost the entire interior of the bladder was found (Fig. 3). Histologic
UROLOGY
/ FEBRUARY
1975 !
VOLUME
V, NUMBER
FIGLRE 3. Photomicrograph large tumor appears as cluster almost entire bladder.
examination showed (sarcoma botyroides).
of gross of grapes,
speci ‘ttcn; orcu~~ying
it to be rhabdomyosarcoma
Steven Alexander, nl. D. Bernard D. Pinck, hl. D. 124 Gregory Avenue Passaic, New Jersey 07055
2
“87
