A serious incidental finding in the urinary bladder

Investigation into a patient’s heavy menstrual bleeding reveals an unexpected finding
Sinali Onara Seneviratne

Helen, a 50-year-old receptionist, presents with a six-month history of heavy menstrual bleeding, which requires the use of seven to eight super pads a day on the first two days of her cycle.

She has a past history of pre-eclampsia, uterine fibroids and iron deficiency anaemia.