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A rare case of multiple bladder hemangiomas associated with Glanzmann thrombasthenia: Successful control of refractory hematuria by super selective vesical artery embolization

Year: 2026

Type: article

Abstract: Bladder hemangiomas are rare benign vascular tumors that may cause severe hematuria. We report a 66-year-old man with Glanzmann thrombasthenia who presented with life-threatening hematuria, clot retention, and severe anemia. Histopathological examination revealed multiple capillary bladder hemangiomas, while contrast-enhanced CT failed to clearly identify the lesions due to their small size. Despite intensive hematological support, including transfusions, recombinant activated factor VII, and transurethral electrocoagulation, bleeding recurred. Given the prohibitive hemorrhagic risk of repeat surgery, super selective vesical artery embolization was performed, achieving complete and durable hemostasis. No complications or recurrence occurred during six months of follow-up.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2026.103588

Authors: Ahmed Chaabouni, Mahmoud Ghozzia, Wafa Elleuch, Kays Chaker, Yassine Nouira, Mourad Hadj Slimen

Institutions: Hopital Universitaire Habib Bourguiba, University of Sfax, Faculty of Medicine of Sfax, Hôpital La Rabta

Language: English

Topic: Vascular Malformations and Hemangiomas

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160