Department of Pediatric Surgery, Hongqi Hospital, Mudanjiang Medical College, Mudanjiang, Heilongjiang, China.
Urology. 2012 Apr;79(4):902-5. doi: 10.1016/j.urology.2011.08.038. Epub 2011 Nov 25.
Primary vesical varices are rare. We report a case of a 4-year-old girl who presented with recurrent gross hematuria secondary to primary vesical varices. Ultrasonography, enhanced computed tomography, and voiding cystourethrogram revealed a solid mass in the right wall of the bladder. Cystoscopy revealed a group of dilated submucosal veins and a red mass. The mass was ablated, and the histopathologic examination demonstrated varices of the bladder. Observation of the patient for 6 months postoperatively showed no recurrence of the hematuria.
原发性膀胱静脉曲张较为罕见。我们报告了一例 4 岁女孩，因原发性膀胱静脉曲张而反复出现肉眼血尿。超声、增强 CT 和排尿性膀胱尿道造影显示膀胱右侧壁有一实性肿块。膀胱镜检查显示一组扩张的黏膜下静脉和一个红色肿块。肿块被消融，组织病理学检查显示为膀胱静脉曲张。术后 6 个月观察患者，血尿无复发。
