Skip to main content
Erschienen in: CardioVascular and Interventional Radiology 10/2016

03.06.2016 | Case Report

Successful Management of Neobladder Variceal Bleeding

verfasst von: Dinesh Atwal, Kshitij Chatterjee, Scott Osborne, Krishna Kakkera, Steven Deas, Ruizong Li, Marcia Erbland

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 10/2016

Einloggen, um Zugang zu erhalten

Abstract

Hematuria from a neobladder can occur due to a variety of pathologies including tumors, stones, and fistulas. Variceal bleeding in a neobladder is a very rare condition with only one case reported in literature. We present a case of a patient with cirrhosis and portal hypertension and an ileocolic orthotopic neobladder presenting with hematuria. Computed tomographic angiography showed dilated varices around the neobladder which were successfully embolized. To the best of our knowledge, this is the first report case of variceal bleeding in a neobladder successfully managed with the combination of TIPS (transjugular intrahepatic portosystemic shunt) procedure and embolization.
Literatur
1.
2.
Zurück zum Zitat Gaspar Y, Detry O, de Level J. Vesical varices in a patient with portal hypertension. N Engl J Med. 2001;345(20):1503–4.CrossRefPubMed Gaspar Y, Detry O, de Level J. Vesical varices in a patient with portal hypertension. N Engl J Med. 2001;345(20):1503–4.CrossRefPubMed
3.
Zurück zum Zitat Kim M, Al-Khalili R, Miller J. Vesical varices: an unusual presentation of portal hypertension. Clin Imaging. 2015;39(5):920–2.CrossRefPubMed Kim M, Al-Khalili R, Miller J. Vesical varices: an unusual presentation of portal hypertension. Clin Imaging. 2015;39(5):920–2.CrossRefPubMed
4.
Zurück zum Zitat Kaur R, Abdullah B, Dublin N. Vesical varices in neobladder secondary to portal hypertension. Eur J Radiol Extra. 2009;69:e25–7.CrossRef Kaur R, Abdullah B, Dublin N. Vesical varices in neobladder secondary to portal hypertension. Eur J Radiol Extra. 2009;69:e25–7.CrossRef
5.
Zurück zum Zitat Oderda M, Mondino P, Lucca I, et al. Fatal haematuria in a patient with an orthotopic neobladder and chronic liver failure. Urol Int. 2009;83(3):368–9.CrossRefPubMed Oderda M, Mondino P, Lucca I, et al. Fatal haematuria in a patient with an orthotopic neobladder and chronic liver failure. Urol Int. 2009;83(3):368–9.CrossRefPubMed
6.
Zurück zum Zitat Norton I, Andrews J, Kamath P. Management of ectopic varices. Hepatology. 1998;28(4):1154–8.CrossRefPubMed Norton I, Andrews J, Kamath P. Management of ectopic varices. Hepatology. 1998;28(4):1154–8.CrossRefPubMed
7.
Zurück zum Zitat Sanyal A, Bosch J, Blei A, Arroyo V. Portal hypertension and its complications. Gastroenterology. 2008;134:1715–28.CrossRefPubMed Sanyal A, Bosch J, Blei A, Arroyo V. Portal hypertension and its complications. Gastroenterology. 2008;134:1715–28.CrossRefPubMed
8.
Zurück zum Zitat Misra S, Dwivedi M, Misra V, Gupta M. Ileal varices and portal hypertensive ileopathy in patients with cirrhosis and portal hypertension. Gastrointest Endosc. 2004;60(5):778–83.CrossRefPubMed Misra S, Dwivedi M, Misra V, Gupta M. Ileal varices and portal hypertensive ileopathy in patients with cirrhosis and portal hypertension. Gastrointest Endosc. 2004;60(5):778–83.CrossRefPubMed
9.
Zurück zum Zitat Takahiro S. Treatment of ectopic varices with portal hypertension. World J Hepatol. 2015;7(12):1601–5.CrossRef Takahiro S. Treatment of ectopic varices with portal hypertension. World J Hepatol. 2015;7(12):1601–5.CrossRef
10.
Zurück zum Zitat Sabri SS, Saad WEA. Balloon-occluded retrograde transvenous obliteration (BRTO): technique and intraprocedural imaging. Semin Interv Radiol. 2011;28(3):303–13.CrossRef Sabri SS, Saad WEA. Balloon-occluded retrograde transvenous obliteration (BRTO): technique and intraprocedural imaging. Semin Interv Radiol. 2011;28(3):303–13.CrossRef
11.
Zurück zum Zitat Vangeli M, Patch D, Terreni N, Tibballs J, Watkinson A, Davies N, Burroughs A. Bleeding ectopic varices—treatment with transjugular intrahepatic porto-systemic shunt (TIPS) and embolisation. J Hepatol. 2004;41(4):560–6.CrossRefPubMed Vangeli M, Patch D, Terreni N, Tibballs J, Watkinson A, Davies N, Burroughs A. Bleeding ectopic varices—treatment with transjugular intrahepatic porto-systemic shunt (TIPS) and embolisation. J Hepatol. 2004;41(4):560–6.CrossRefPubMed
Metadaten
Titel
Successful Management of Neobladder Variceal Bleeding
verfasst von
Dinesh Atwal
Kshitij Chatterjee
Scott Osborne
Krishna Kakkera
Steven Deas
Ruizong Li
Marcia Erbland
Publikationsdatum
03.06.2016
Verlag
Springer US
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 10/2016
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-016-1395-1

Weitere Artikel der Ausgabe 10/2016

CardioVascular and Interventional Radiology 10/2016 Zur Ausgabe

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.