{"id":20560,"date":"2026-07-31T10:33:02","date_gmt":"2026-07-31T10:33:02","guid":{"rendered":"https:\/\/woncaeurope2026.org\/sessions\/case-report-persistent-hematuria\/"},"modified":"2026-07-31T10:33:02","modified_gmt":"2026-07-31T10:33:02","slug":"case-report-persistent-hematuria","status":"publish","type":"wsa_session","link":"https:\/\/woncaeurope2026.org\/fr\/sessions\/case-report-persistent-hematuria\/","title":{"rendered":"Case report: Persistent hematuria"},"content":{"rendered":"<p>First consult in the emergency department (ED), with resolution in Primary Healthcare.Woman, 88 years old was evaluated for intermittent episodes of macroscopic hematuria associated with dysuria, without fever or any other symptoms. On initial assessment in the ED the patient was hemodynamically stable, afebrile and with an unremarkable physical examination. Blood tests revealed no significant abnormalities; urinary sediment showed haematuria and leukocyturia. The diagnosis of self-limited hematuria in the context of a probable urinary tract infection (UTI) was made, the patient received a single dose of fosfomycin. The patient was seen then in Primary Healthcare reporting persistent dysuria. On both visits hematuria persisted in the urinary sediment. Given the ongoing abnormality, an abdominal point of care ultrasound (POCUS) was performed, which revealed a polypoid appearing intravesical lesion. Urinary cytology was requested and it showed suspicious results for urothelial adenocarcinoma. The patient was referred urgently to Urology for further work-up.POCUS is an emerging tool in Primary Healthcare. This case exemplifies how integration into routine practice can enable earlier detection of clinically significant urological pathology that otherwise would be identified at later stages.This case underlines the importance of proactive follow-up in primary care, as well as the diagnostic value added by POCUS. This case also emphasizes the need for close surveillance of persistent symptoms that may initially be attributed to common conditions such as UTI (1). It also highlights the importance of expanding POCUS training in Primary Healthcare and establishing clear care pathways to optimize it use, strengthen the coordination with specialists, and facilitate earlier diagnosis (2).Persistent hematuria can conceal significant pathology. In this case, POCUS permitted early visualization of a suspicious bladder lesion, which made possible the request of other tests and a referral to Urology.Access to diagnostic tools such as POCUS in the clinic enhances the problem solving capacity of primary care. Their integration into routine practice modernizes the role of the Family Medicine physician, increases opportunities for early diagnosis and improves overall patient care.<\/p>\n","protected":false},"template":"","class_list":["post-20560","wsa_session","type-wsa_session","status-publish","hentry","description-off"],"_links":{"self":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/wsa_session\/20560","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/wsa_session"}],"about":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/types\/wsa_session"}],"wp:attachment":[{"href":"https:\/\/woncaeurope2026.org\/fr\/wp-json\/wp\/v2\/media?parent=20560"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}