Korean J Radiol.  2013 Feb;14(1):94-96. 10.3348/kjr.2013.14.1.94.

Balloon-Occluded Percutaneous Transhepatic Obliteration of Isolated Vesical Varices Causing Gross Hematuria

• Lim DH
• Kim DH
• Kim MS
• Kim CS

• KMID: 1430050
• DOI: http://doi.org/10.3348/kjr.2013.14.1.94

Abstract

Gross hematuria secondary to vesical varices is an unusual presentation. We report such a case recurrent gross hematuria in a male patient who had a history of bladder substitution with ileal segments that had been treated by balloon-occluded percutaneous transhepatic obliteration of vesical varices.

Keyword

Hematuria; Vesical varix; Percutaneous transhepatic obliteration

MeSH Terms

Balloon Occlusion/*adverse effects
Contrast Media/diagnostic use
Embolization, Therapeutic/*methods
Hematuria/*etiology
Humans
Male
Middle Aged
Phlebography
Recurrence
Tomography, X-Ray Computed
Varicose Veins/*complications/*therapy

Figure

• 

  Fig. 1 50-year-old male presented to ED with recurrent episodes of gross hematuria. A. Cystoscopy shows vesical varices (arrow). B, C. CT images show dilated blood vessels (arrow) along right side of bladder wall with drainage into superior mesenteric vein. D. Arterial portography via superior mesenteric artery shows dilated veins drainaged (drained) into superior mesenteric vein (SMV) in right pelvic area. E. Percutaneous transhepatic portography shows vesical varices with drainage into SMV. F. Balloon-occluded venogram shows vesical varices. G. Figure shows opacification of vesical varices with 5% ethanolamine oleate-lipiodol mixture (arrow). H, I. CT images shows opacification of vesical varices (arrow) with 5% ethanolamine oleate-lipiodol mixture after 6 weeks. J. F/U Cystoscopy shows disappearance of vesical varices after 6 weeks.

Reference

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