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.