Massive hematuria due to portal hypertension in a child with bladder augmentation for vesical exstrophy

Lipsich, José; Rojas, Luis; Alonso, Jesús José Beltrán de Heredia; Teplisky, Darío; Halac, Alicia; Álvarez, F. Carballo; Sierre, Sergio

doi:10.1016/j.jpurol.2007.09.002

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…Indeed, in our literature review, the endoscopic treatment was effective in only 3 patients among 11. For one patient with vesical varices in a neobladder, the issue was fatal with the death of the patient [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Vesical varices: An uncommon cause of gross hematuria in young men

Rahoui

Boulma

Khouni

2022

Annals of Medicine &Amp; Surgery

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Section: Discussionmentioning

confidence: 99%

Vesical varices: An uncommon cause of gross hematuria in young men

Rahoui

Boulma

Khouni

2022

Annals of Medicine &Amp; Surgery

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“…Kim et al [ 7 ] described a patient who had not undergone prior interventions that altered portal pressure dynamics and had vesical varices with portal hypertension. In addition, Lipsich et al [ 13 ] and Lim et al [ 14 ] each reported a case of ectopic varices in a male patient in the bowel who had a history of bladder substitution with ileal segments due to urinary system disease. Primary vesical varices are even rarer and are typically related to anatomical variations.…”

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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