A female patient, 73 years of age consulted me with history of total painless hematuria 15 days back. This was accompanied by pain in the left lumbar region. The episode lasted for 2 days. She also suffers from diabetes mellitus and hypertension for last 10 years. She underwent Coronary Angiography for Ischemic heart disease and has been on medication since then. She underwent Cystoscopy and biopsy of bladder tumor outside which revealed low grade transitional cell Carcinoma.
Physical Examination was essentially normal. The CT scan revealed a lobulated hypodense 3.8 X 3.5 cms sized mildly enhancing soft tissue mass lesion in the right postero-lateral aspect of Urinary Bladder. This is involving the right vesico-ureteric junction. A streaking of perivesical fat is noted. The urinary bladder otherwise shows normal distension and wall thickness. She was advised to undergo Cystoscopy…
