Portal Hypertensive Vesiculopathy: A Rare Cause of Hematuria and a Unique Management Strategy

Kalpesh Parmar; Sahaj Rathi; Ashish Khanna; Mukesh Gupta; Akash Singh; S K Singh; Virendra Singh

doi:10.1016/j.urology.2018.02.015

Portal Hypertensive Vesiculopathy: A Rare Cause of Hematuria and a Unique Management Strategy

Urology. 2018 May:115:e7-e8. doi: 10.1016/j.urology.2018.02.015. Epub 2018 Mar 13.

Authors

Kalpesh Parmar¹, Sahaj Rathi², Ashish Khanna¹, Mukesh Gupta¹, Akash Singh², S K Singh¹, Virendra Singh³

Affiliations

¹ Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
² Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
³ Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India. Electronic address: virendrasingh100@hotmail.com.

PMID: 29548866
DOI: 10.1016/j.urology.2018.02.015

Abstract

Portosystemic collaterals are common sequelae of portal hypertension. These often present as gastroesophageal varices. Ectopic varices can rarely be seen in duodenum, jejunum, rectum, and sites of surgical anastomoses. Bladder varices are extremely rare presenting with recurrent hematuria, with only a few reported cases. We report here a management of an unusual case of hematuria managed with blood transfusion, intravenous terlipressin, and endoscopic N-butyl cyanoacrylate glue injection.

Publication types

Case Reports

MeSH terms

Antihypertensive Agents / therapeutic use
Blood Transfusion
Embolization, Therapeutic / methods*
Enbucrilate / therapeutic use
Hematuria / etiology*
Hematuria / therapy
Humans
Hypertension, Portal / complications*
Hypertension, Portal / drug therapy
Liver Cirrhosis, Alcoholic / complications
Male
Middle Aged
Terlipressin / therapeutic use
Tissue Adhesives / therapeutic use
Urinary Bladder / blood supply*
Varicose Veins / etiology*
Varicose Veins / therapy*

Substances

Antihypertensive Agents
Tissue Adhesives
Terlipressin
Enbucrilate