Parmar Kalpesh, Rathi Sahaj, Khanna Ashish, Gupta Mukesh, Singh Akash, Singh S K, Singh Virendra
Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Urology. 2018 May;115:e7-e8. doi: 10.1016/j.urology.2018.02.015. Epub 2018 Mar 13.
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.
门体分流支是门静脉高压的常见后遗症。这些通常表现为胃食管静脉曲张。异位静脉曲张很少见于十二指肠、空肠、直肠和手术吻合部位。膀胱静脉曲张极为罕见，表现为反复血尿，仅有少数病例报道。我们在此报告一例罕见血尿病例的处理，采用了输血、静脉注射特利加压素和内镜下注射氰基丙烯酸正丁酯胶水的方法。
