BMJ Case Reports 2017; doi:10.1136/bcr-2017-219341
  • Rare disease

Urothelial papilloma: a rare cause of gross haematuria in childhood

  1. Graça Ferreira1
  1. 1Department of Paediatrics, Hospital Center of Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
  2. 2Department of Paediatric Urology, Oporto Hospital Center, Oporto, Portugal
  1. Correspondence to Dr Andreia Ribeiro, andreia.ribeiro{at}
  • Accepted 1 May 2017
  • Published 13 May 2017


Bladder urothelial papilloma is extremely rare in the paediatric population. It usually presents as painless gross haematuria and its diagnosis implies a high index of suspicion as other causes of haematuria predominate in this age range. We describe a 9-year-old boy with two episodes of gross haematuria occurring 1 year apart with spontaneous resolution after 2 days. Bladder ultrasound revealed an endovesical papillary lesion of 24×24 mm suggestive of bladder tumour. The diagnosis was confirmed by histopathological examination of the specimen obtained by cystoscopy with transurethral resection. After 3 years of follow-up with ultrasound and cystoscopy, there are no signs of recurrence. Due to the low prevalence of urothelial papilloma, paediatric guidelines for appropriate management and follow-up are unavailable, making this a challenging entity.


  • Contributors All authors have contributed for this work. The article has been read and approved by all authors. Specifically, AR has contributed to literature research, acquisition and data analysis, conception and writing the article. MP has contributed to literature research, acquisition and data analysis,and drafting the article. GF and AR have participated in conception, writing and revision of the article for important scientific content.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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