A Surgically Treated Case of Ureterovesical Amyloidosis of the Bladder in a Patient with Idiopathic Thrombocytopenia
Idiopathic thrombocytopenia (ITP) is a bleeding disorder involving the destruction of platelets by the immune system. Systemic amyloidosis is another bleeding disorder involving amyloid deposits that create defects in coagulation and increased prothrombin and thrombin times. We report a 52-year-old...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2018/1059349 |
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| author | Sung Han Kim Weon Seo Park Jae Young Joung Kang Hyun Lee Jinsoo Chung Ho Kyung Seo |
| author_facet | Sung Han Kim Weon Seo Park Jae Young Joung Kang Hyun Lee Jinsoo Chung Ho Kyung Seo |
| author_sort | Sung Han Kim |
| collection | DOAJ |
| description | Idiopathic thrombocytopenia (ITP) is a bleeding disorder involving the destruction of platelets by the immune system. Systemic amyloidosis is another bleeding disorder involving amyloid deposits that create defects in coagulation and increased prothrombin and thrombin times. We report a 52-year-old man with ITP and new two-month-duration, painless gross hematuria without clot formation resulting in amyloidosis involving the ureterovesical area of the bladder. He had osteopenia, hypertension, and moderate thrombocytopenia due to ITP diagnosed 7 years previously. Cystoscopic examination with urine cytology and computed tomography imaging detected a 2-cm protruding solid bladder mass involving the left ureteral orifice and trigone and left mild hydroureteronephrosis, suggesting bladder cancer. Transurethral resection of the bladder mass was performed to confirm amyloidosis involvement in the ureterovesical junction of the bladder and ureter. Four weeks postoperatively, intermittent gross hematuria remained; hence, left ureteroneocystostomy was performed. Regular follow-up showed no signs of hematuria or intravesical recurrences for 14 months. |
| format | Article |
| id | doaj-art-09e66a8199aa4986b335152e84d72f91 |
| institution | Kabale University |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-09e66a8199aa4986b335152e84d72f912025-02-03T05:44:14ZengWileyCase Reports in Urology2090-696X2090-69782018-01-01201810.1155/2018/10593491059349A Surgically Treated Case of Ureterovesical Amyloidosis of the Bladder in a Patient with Idiopathic ThrombocytopeniaSung Han Kim0Weon Seo Park1Jae Young Joung2Kang Hyun Lee3Jinsoo Chung4Ho Kyung Seo5Department of Urology, Center for Prostate Cancer, National Cancer Center, Goyang, Republic of KoreaDepartment of Pathology, Center for Prostate Cancer, National Cancer Center, Goyang, Republic of KoreaDepartment of Urology, Center for Prostate Cancer, National Cancer Center, Goyang, Republic of KoreaDepartment of Urology, Center for Prostate Cancer, National Cancer Center, Goyang, Republic of KoreaDepartment of Urology, Center for Prostate Cancer, National Cancer Center, Goyang, Republic of KoreaDepartment of Urology, Center for Prostate Cancer, National Cancer Center, Goyang, Republic of KoreaIdiopathic thrombocytopenia (ITP) is a bleeding disorder involving the destruction of platelets by the immune system. Systemic amyloidosis is another bleeding disorder involving amyloid deposits that create defects in coagulation and increased prothrombin and thrombin times. We report a 52-year-old man with ITP and new two-month-duration, painless gross hematuria without clot formation resulting in amyloidosis involving the ureterovesical area of the bladder. He had osteopenia, hypertension, and moderate thrombocytopenia due to ITP diagnosed 7 years previously. Cystoscopic examination with urine cytology and computed tomography imaging detected a 2-cm protruding solid bladder mass involving the left ureteral orifice and trigone and left mild hydroureteronephrosis, suggesting bladder cancer. Transurethral resection of the bladder mass was performed to confirm amyloidosis involvement in the ureterovesical junction of the bladder and ureter. Four weeks postoperatively, intermittent gross hematuria remained; hence, left ureteroneocystostomy was performed. Regular follow-up showed no signs of hematuria or intravesical recurrences for 14 months.http://dx.doi.org/10.1155/2018/1059349 |
| spellingShingle | Sung Han Kim Weon Seo Park Jae Young Joung Kang Hyun Lee Jinsoo Chung Ho Kyung Seo A Surgically Treated Case of Ureterovesical Amyloidosis of the Bladder in a Patient with Idiopathic Thrombocytopenia Case Reports in Urology |
| title | A Surgically Treated Case of Ureterovesical Amyloidosis of the Bladder in a Patient with Idiopathic Thrombocytopenia |
| title_full | A Surgically Treated Case of Ureterovesical Amyloidosis of the Bladder in a Patient with Idiopathic Thrombocytopenia |
| title_fullStr | A Surgically Treated Case of Ureterovesical Amyloidosis of the Bladder in a Patient with Idiopathic Thrombocytopenia |
| title_full_unstemmed | A Surgically Treated Case of Ureterovesical Amyloidosis of the Bladder in a Patient with Idiopathic Thrombocytopenia |
| title_short | A Surgically Treated Case of Ureterovesical Amyloidosis of the Bladder in a Patient with Idiopathic Thrombocytopenia |
| title_sort | surgically treated case of ureterovesical amyloidosis of the bladder in a patient with idiopathic thrombocytopenia |
| url | http://dx.doi.org/10.1155/2018/1059349 |
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