Description
A 40-year-old male patient presented at the outpatient department with ulcerative swelling with foul smelling discharge from lower half of abdomen for last 3 months. He had a history of haematuria with increased frequency of micturition for last 6 months accompanied by loss of appetite and subsequent weight loss. There was no history of nocturia, urgency or incontinence.
On physical examination, he was found to have an ulceroproliferative growth around 5x3 cm size in the infraumbilical region with urinary discharge near one end as shown in figure 1.
Figure 1
Ulceroproliferative growth in the infraumbilical region arising from urinary bladder.
It was small to begin with and progressively increased in size to reach the present state.
The growth demonstrated an unhealthy ulcer with everted margins and areas of slough. It was friable and bled actively on manipulation. Rest of the abdominal...
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