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Propranolol as an effective therapy for infantile haemangioma of the urinary bladder
  1. Taha Anwar and
  2. Elizabeth Malm-Buatsi
  1. Surgery - Urology, University of Missouri Columbia School of Medicine, Columbia, Missouri, USA
  1. Correspondence to Dr Elizabeth Malm-Buatsi, malmbuatsie{at}


Infantile haemangiomas are one of the most common tumours in infancy, but typically present as cutaneous lesions; haemangiomas of the urinary bladder are incredibly rare. Although benign, these can sometimes ulcerate and bleed, causing haematuria in the case of bladder lesions. Propranolol is a well-documented medical therapy for cutaneous lesions, but surgical treatment dominates the literature on bladder haemangiomas. We present the case of a child with infantile haemangiomas of the urinary bladder, as well as internal and cutaneous lesions, treated with propranolol. At 6-week follow-up cystoscopy and MRI, there was a significant improvement in both bladder and internal lesions, respectively. Follow-up with dermatology 9 months after initiation of propranolol demonstrated excellent regression of the cutaneous lesions with a marked decrease in both size and prominence. This case demonstrates the potential role of propranolol in the treatment of bladder haemangiomas in lieu of more invasive surgical techniques.

  • dermatology
  • urology
  • paediatrics (drugs and medicines)
  • urinary and genital tract disorders
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  • Contributors EM-B: conceptualisation, resources (literature search), writing, review and editing, supervision, visualisation. TA: resources (literature search), writing original draft preparation, review and editing, visualisation.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

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

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