Management of bladder tumors in pregnancy: A case of tumor prolapse and avulsion during labor

Abstract

Pregnancy presents unique obstacles to diagnosis and management of urologic disease. We present a case of a primigravid female with clot retention requiring evacuation in the operating room due to the avulsion of a bladder mass which prolapsed during labor. Tumor pathology demonstrated a low-grade spindle cell lesion positive for progesterone receptor (PR) and high mobility group A2 (HMGA2), suggestive of deep angiomyxoma versus a benign fibroepithelial polyp or inflammatory myofibroblastic tumor.

Keywords

• Urinary Bladder Neoplasms
• Urologic Neoplasms
• Urogenital Neoplasms
• “Pregnancy”
• “Urologic Surgical Procedures