A case of bladder carcinoma associated with perivesical gauzeoma in a patient on hemodialysis

Abstract

The case of a 66-year-old male who had undergone cystolithotomy, 8 years previously, is presented. He had been on dialysis for 7 months because of chronic renal failure. He noticed gross hematuria on August 20th, 1993. Cystoscopy revealed extensive papillary tumors on the right lateral bladder wall, and histopathological examination revealed an invasive transitional cell carcinoma, grade III. Pelvic CT showed an oval shaped tumor adjacent to the bladder. On September 21st, 1993 total cystectomy was performed with ligation of both ureters. The pelvic mass revealed gauzeoma. The postoperative course was uneventful. He was followed for 18 months without recurrence.