Koshy C George, Govil Shalini, Shyamkumar N K, Devasia Antony
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India.
Urology. 2009 Jan;73(1):58-9. doi: 10.1016/j.urology.2008.06.039. Epub 2008 Aug 22.
A patient presented to the urology outpatient department with complaints of recurrent episodes of painless hematuria. A contrast-enhanced computed tomography scan of the abdomen revealed vesical varices that had developed secondary to obstruction of the inferior vena cava. Additional investigation revealed idiopathic retroperitoneal fibrosis. Steroid therapy was started and tapered during a 6-week period. No recurrence of the hematuria was noted on follow-up. We have described a unique presentation of hematuria due to vesical varices in a patient with idiopathic retroperitoneal fibrosis.
一名患者因反复出现无痛性血尿而就诊于泌尿外科门诊。腹部增强计算机断层扫描显示，膀胱静脉曲张是由于下腔静脉阻塞继发形成的。进一步检查发现特发性腹膜后纤维化。开始进行为期6周的类固醇治疗并逐渐减量。随访期间未发现血尿复发。我们描述了一例特发性腹膜后纤维化患者因膀胱静脉曲张导致血尿的独特病例。
