Bladder Varices—Rare Cause of Painless Hematuria in Idiopathic Retroperitoneal Fibrosis

Koshy, Chiramel George; Govil, Sanjay; Shyamkumar, NK; Devasia, Antony

doi:10.1016/j.urology.2008.06.039

Cited by 6 publications

(4 citation statements)

References 4 publications

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“…Vesical varices are a rare cause of gross hematuria. Vesical varices are reported in association with portal hypertension, 2 schistosomiasis, 3 pregnancy, 4 ataxia, 5 Klippel Trenaunay syndrome, 6 retroperitoneal fibrosis, 7 and history of prior abdominal surgery. 8 Among the reported cases of vesical varices, portal hypertension was the most frequent cause.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Antegrade Transvenous Variceal Obliteration for Portal Vesiculopathy-Related Gross Hematuria

N.,

Shaw,

Chatterjee

et al. 2023

Journal of Clinical Interventional Radiology ISVIR

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Vesical varices secondary to portal hypertension are extremely rare cause of hematuria with only a few cases reported to date. We report a case of portal vesiculopathy in a patient of hepatitis B virus-related chronic liver disease presenting with gross hematuria, successfully treated with percutaneous antegrade transvenous obliteration using n-butyl cyanoacrylate glue and Amplatzer vascular plug.

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Section: Discussionmentioning

confidence: 99%

Percutaneous Antegrade Transvenous Variceal Obliteration for Portal Vesiculopathy-Related Gross Hematuria

N.,

Shaw,

Chatterjee

et al. 2023

Journal of Clinical Interventional Radiology ISVIR

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“…The causes of bladder varicose veins can be divided into secondary and primary causes. Secondary vesical varices are related to portal hypertension[ 4 - 7 ], schistosomiasis[ 8 ], pregnancy[ 9 ], ataxia[ 10 ], Klippel-Trenaunay syndrome[ 11 ], iliac vein thrombosis, and retroperitoneal fibrosis[ 12 ]. In previous reports, vesical varices caused by portal hypertension were the most common.…”

Section: Discussionmentioning

confidence: 99%

Severe hematuria due to vesical varices in a patient with portal hypertension: A case report

Wei¹,

Zhu²,

Yu³

et al. 2021

WJCC

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BACKGROUND Hematuria is one of the most common clinical symptoms for urologists and is typically observed in urinary system tumors, prostate hyperplasia, and urinary stone disease. Hematuria due to vesical varices is very rare, and only a few cases have been reported since 1989. We report the first case of vesical varices due to portal hypertension with aberrant development and functioning of the genitourinary system along with the complete diagnosis and treatment process. CASE SUMMARY This patient was a 53-year-old man with a history of aberrant development of the genitourinary system and hepatitis B-associated cirrhosis. He was admitted to the emergency department with severe hematuria and bladder clot tamponade. Many abnormally dilated blood vessels were found surrounding the bladder in the pelvis by color Doppler ultrasound, contrast-enhanced computed tomography, and three-dimensional visualization technology. It was difficult to perform transurethral cystoscopy and hemostasis in this patient, so we performed open surgical bladder exploration for hemostasis and surgical devascularization around the bladder. CONCLUSION Urologists should improve the understanding of the pathophysiology, clinical manifestations, diagnosis, and treatment of vesical varices. This case may be presented as a reference for the diagnosis and management of severe hematuria due to vesical varices.

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“…Causes of vesical varices other than cirrhosis-related portal hypertension include schistosomiasis infection with portal vein thrombosis and secondary portal hypertension [12], retroperitoneal fibrosis with obstruction of the inferior vena cava [13], venous compression and valvular incompetence seen during pregnancy [14], and KlippelTrenaunay [15]. Koichi et al [16] described a case of vesical varices and severe telangiectasias that developed in a patient with ataxia-telangiectasia who received cyclophosphamide therapy for severe autoimmune thrombocytopenia.…”

Section: Discussionmentioning

confidence: 99%

Vesical varices: an unusual presentation of portal hypertension

2015

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Bladder Varices—Rare Cause of Painless Hematuria in Idiopathic Retroperitoneal Fibrosis

Cited by 6 publications

References 4 publications

Percutaneous Antegrade Transvenous Variceal Obliteration for Portal Vesiculopathy-Related Gross Hematuria

Percutaneous Antegrade Transvenous Variceal Obliteration for Portal Vesiculopathy-Related Gross Hematuria

Severe hematuria due to vesical varices in a patient with portal hypertension: A case report

Vesical varices: an unusual presentation of portal hypertension

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