Figure 2: Multiple fibrous plaque on forehead.
Her initial hemoglobin was 7.7 gm/dl and total count was slightly raised
to 12400/mm3. Her other laboratory investigation
including electrocardiography, kidney function tests and liver function
tests were essentially normal.
She was initially managed with III units of whole blood transfusion and
her hemoglobin raised to 9.9 gm/dl. She persistently had hematuria and
developed urinary obstruction following which intravenous urogram with
computed tomography was done which showed a large hyperdense structure
in urinary bladder measuring 12.4x12.2x11.2 cm almost filling the lumen
as shown in Figure 3.