Idiopathic aneurysm of the inferior vena cava as a cause of massive penile bleeding

Debing, Erik; Vanhulle, A; Tussenbroek, F. Van; Kemp, K. Von; Brande, P. Van den

doi:10.1016/s1078-5884(98)80042-7

Cited by 20 publications

(17 citation statements)

References 3 publications

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“…Venöz anevrizmalar; fistül ya da psödoanevrizmalarla ilişkisi olmaksızın, tek bir bağlantıyla ana venöz yapıya bağlanan, lokalize venöz dilatasyon olarak tanımlanır. Histopatolojik olarak normal ven duvarının her üç tabakasını içerdikleri için gerçek anevrizmalardır, fakat duvar yapısında bulunan kas, elastik ve fibröz dokularda artış mevcuttur (5,6). Venöz anevrizmalar içinde oldukça nadir görülen İVK anevrizmasının etyolojisi bilinmemekle birlikte, embriyolojik olarak venöz yapılar arasındaki anastomozlardan geliştiği ve diğer kardiyovasküler anomalilerle ilişkili olabileceği ileri sürülmüştür (7).…”

Section: Discussionunclassified

Asymptomatic vena cava inferior aneurysm, case report

Özdemir¹,

Bilgin²,

Fırat³

et al. 2012

Tuberk Toraks

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Venous aneurysms are uncommon, whereas localized aneurysms of the inferior vena cava are extremely rare. Localized aneurysm of inferior vena cava was first publisheded in 1973 by Oh et al. Though venous aneurysms are generally asymptomatic, it is clinically important because of showing the symptoms of abdominal pain, gastrointestinal bleeding, acute venous obstruction, pulmonary embolism and even sudden death. Our case is also asymptomatic and localized aneurysm of the inferior vena cava is detected incidentally.

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Section: Discussionunclassified

Asymptomatic vena cava inferior aneurysm, case report

Özdemir¹,

Bilgin²,

Fırat³

et al. 2012

Tuberk Toraks

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“…Complications of IVCA include pulmonary embolism, 3,25 paradoxical cerebral embolism, 3 penile bleeding, 20 abdominal pain associated with aneurysm rupture, complete obstruction of the IVC at the diaphragmatic level causing Budd Chiari syndrome, 26 IVC syndrome, 15 compression and death. None of the cases in the literature showed rupture of the aneurysm.…”

Section: Discussionmentioning

confidence: 99%

“…Histopathology at the site of aneurysm shows three layer thickened walls, a decrease in muscle and elastic fibers and an increase in fibrous tissue in the tunica media. 19,20 In the case by Debing et al, 20 the patient was a power lifter in whom valsalva maneuvers and markedly elevated venous pressures may have been a contributing factor with the histopathologic changes. Alternatively, attenuation of the wall with attendant dispersal of its components may have occurred as the vessel dilated, in accordance with the Laplace law.…”

Section: Discussionmentioning

confidence: 99%

Aneurysmal Dilatation of the Inferior Vena Cava

et al. 2011

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“…Others have published case reports of massive urethral bleeding from urethral varicosities associated with congenital diseases or major venous malformations necessitating major surgical procedures. 6,7 Other rare causes of urethral bleeding include urethral polyps, 8 ectopic prostatic tissue 9 and urethral haemangiomata. 10,11 Haemangiomata appear to be as eparate entity and are described as sessile vascular lesions usually near the prostatic apex.…”

Section: Discussionmentioning

confidence: 99%

Urethral Venous Malformation: An Unusual Cause of Recurrent Post-Coital Gross Haematuria in Association with Haematospermia

Gkougkousis

Khan

Terry

et al. 2009

annals

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Ann RC oll Surg Engl 2009; 91:5 32-534 532Bleeding per urethram is ac ommon urological symptom which prompts urgent investigation, aimed primarily at excluding malignancy.T he differential diagnosis in these patients is considerable. We present three cases of urethral bleeding associated with post-coital ejaculation that was found to be caused by urethral venous malformations, a condition that is rare but probably under-reported. Patients and MethodsThe case notesofthree patients who wereidentified as suffering from post-coital urethral bleeding were reviewed. Due to the rarity of the disease and the lack of standardisation in the diagnosisa nd treatment, personal communication withe ach surgeon was necessary for am ore accurate descriptiono ft he intra-operativefindings and details of the surgical treatment. A search and reviewo ft he literature publishedi nE nglish was performed using the PubMed database. ResultsThe three patients in this series were treated by three different urological surgeons, all practising in the same unit. Cases are reported both separately and in comparison (Table 1). Case report 1A5 8-year-old man represented to the department of urology in 2007 with ah istory of haematospermia and haematuria spanning 20 years. The patient reported that episodes of haematospermia and haematuria were provoked by ejaculation. He was first investigated for frank haematuria 18 years previously when it was reported that there was no abnormality of the urinary tract. He was re-investigated for haematuria 10 years later when large 'varicose veins' were noted in the bulbar and membranous urethra, coursing over the external sphincter muscle. Three years previously, he was again referred complaining of haematuria. On this occasion, af lexible cystoscopy was reported as normal. Over the next 2y ears, the patient was admitted to hospital on three occasions with further episodes of heavy haematuria and the passage of clots. Investigations including an intravenous urogram, renal/pelvic ultrasound scan and magnetic resonance imaging (MRI) of the pelvis were reported as normal. His most recent cystourethroscopy, however,demonstrated large, abnormal branching veins in the bulbar urethra (Fig. 1) on either side of the verumontanum and around the bladder neck. In addition, within the bladder there were abnormal sub-mucosal veins high on the posterior bladder wall. Judicious 'spot-welding' of these veins at the bladder neck, alongside the verumontanum and in the bulbar urethra was performed using diathermy coagulation. At 6-month review,t he patient was free of postcoital haematospermia and haematuria for the first time in 20 years. Case report 2A4 1-year-old man was referred with a1 0-year history of intermittent haematuria with clots. This had always been associated with sexual activity and ejaculation. There was CASE REPORTS

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Idiopathic aneurysm of the inferior vena cava as a cause of massive penile bleeding

Cited by 20 publications

References 3 publications

Asymptomatic vena cava inferior aneurysm, case report

Asymptomatic vena cava inferior aneurysm, case report

Aneurysmal Dilatation of the Inferior Vena Cava

Urethral Venous Malformation: An Unusual Cause of Recurrent Post-Coital Gross Haematuria in Association with Haematospermia

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