Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Jul 7;16(2):446-451.
doi: 10.1159/000525403. eCollection 2022 May-Aug.

Hematuria Leads to a New Diagnosis of Cirrhosis

Cristina Angelo  1 , Allison Tan  2 , Dina Halegoua-De Marzio  3 , Jonathan M Fenkel  3
Affiliations
Case Reports

Hematuria Leads to a New Diagnosis of Cirrhosis

Cristina Angelo et al. Case Rep Gastroenterol. .

Abstract

A known consequence of portal hypertension is the development of varices, which are described as "ectopic" when located at unusual sites in the abdomen. Ectopic varices carry a mortality rate as high as 40% after initial hemorrhagic episode. We report a patient who presented with hematuria secondary to bladder varices as the presenting symptom for a new diagnosis of cirrhosis. Cross-sectional imaging, early recognition of this rare event, combined with multidisciplinary management was essential for this patient to have a successful outcome.

Keywords: Cirrhosis; Ectopic varices; Hematuria.

PubMed Disclaimer

Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
CT abdomen/pelvis showing pelvic varices extending into the wall of bladder.
Fig. 2
Fig. 2
CT abdomen/pelvis showing pelvic varices extending into the wall of bladder.
Fig. 3
Fig. 3
Successful coil-assisted transvenous obliteration of varix.
Fig. 4
Fig. 4
CT abdomen/pelvis performed at 9 months post-treatment showing sustained obliteration of the right pelvis and bladder varices and no residual or recurrent enhancing varices.
Fig. 5
Fig. 5
CT abdomen/pelvis performed at 9 months post-treatment showing sustained obliteration of the right pelvis and bladder varices and no residual or recurrent enhancing varices.
See this image and copyright information in PMC

References

    1. Kim M, Al-Khalili R, Miller J. Vesical varices: an unusual presentation of portal hypertension. Clin Imaging. 2015;39((5)):920–2. - PubMed
    1. Parmar K, Rathi S, Khanna A, Gupta M, Singh A, Singh SK, et al. Portal hypertensive vesiculopathy: a rare cause of hematuria and a unique management strategy. Urology. 2018;115:e7. - PubMed
    1. HelmyAl Kahtani K, Al Kahtani M, Al Fadda M. Updates in the pathogenesis, diagnosis and management of ectopic varices. Hepatol Int. 2008;2((3)):322–34. - PMC - PubMed
    1. Norton ID, Andrews JC, Kamath PS. Management of ectopic varices. Hepatology. 1998;28((4)):1154–8. - PubMed
    1. Akhter NM, Haskal ZJ. Diagnosis and management of ectopic varices. Gastrointest Interv. 2012;1((1)):3–10.

Publication types