Cargando…

Vesical varices: An uncommon cause of gross hematuria in young men

INTRODUCTION: and importance: Vesical varices are a rare condition. they are an exceptional cause of hematuria. The most common cause of vesical varices reported in literature is portal hypertension. Usually, varices due to portal hypertension develop in the gastroesophageal region. A multidisciplin...

Descripción completa

Detalles Bibliográficos
Autores principales: Rahoui, Moez, Rami, Boulma, hassen, Khouni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8858757/
https://www.ncbi.nlm.nih.gov/pubmed/35242309
http://dx.doi.org/10.1016/j.amsu.2022.103286
_version_ 1784654304185942016
author Rahoui, Moez
Rami, Boulma
hassen, Khouni
author_facet Rahoui, Moez
Rami, Boulma
hassen, Khouni
author_sort Rahoui, Moez
collection PubMed
description INTRODUCTION: and importance: Vesical varices are a rare condition. they are an exceptional cause of hematuria. The most common cause of vesical varices reported in literature is portal hypertension. Usually, varices due to portal hypertension develop in the gastroesophageal region. A multidisciplinary team approach is required, with input from gastroenterologists, interventional radiologists, and urologists. CASE PRESENTATION: We present a case of A 38 -year- old man presented to our office for 2 episodes of total macroscopic gross hematuria. The detailed general physical examination revealed: a patient in a good condition, without pallor or icterus. Laboratory investigations are normal. Cystoscopy under locoregional anesthesia was performed. It revealed a group of dilated sub mucosal veins, in the trigone. After discussing the case with gastroenterologists, we had presumed that the etiology of vesical varices may be the portal hypertension. CLINICAL DISCUSSION: Vesical varices are an extremely rare cause of hematuria. The most common cause of vesical varices reported in literature is portal hypertension. The vesical varices may remain asymptomatic for a long period and manifest with hematuria in some cases. In order to organize the management of bleeding vesical varices, a detailed cartography of vesical vascularization have to be performed, including cystoscopy and abdominal contrast tomography (10). No definitive treatment has been established for bleeding vesical varices. In case of gross hematuria, surgical devascularization, laser sclerosis and coagulation are often only of temporary effectiveness. CONCLUSION: Vesical varices are an extremely rare pathology. Its main etiology is Portal hypertension. The hematuria due to vesical varices could be life threatening. It requires energetic treatment. The goal of the treatment is portal decompression.
format Online
Article
Text
id pubmed-8858757
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-88587572022-03-02 Vesical varices: An uncommon cause of gross hematuria in young men Rahoui, Moez Rami, Boulma hassen, Khouni Ann Med Surg (Lond) Case Report INTRODUCTION: and importance: Vesical varices are a rare condition. they are an exceptional cause of hematuria. The most common cause of vesical varices reported in literature is portal hypertension. Usually, varices due to portal hypertension develop in the gastroesophageal region. A multidisciplinary team approach is required, with input from gastroenterologists, interventional radiologists, and urologists. CASE PRESENTATION: We present a case of A 38 -year- old man presented to our office for 2 episodes of total macroscopic gross hematuria. The detailed general physical examination revealed: a patient in a good condition, without pallor or icterus. Laboratory investigations are normal. Cystoscopy under locoregional anesthesia was performed. It revealed a group of dilated sub mucosal veins, in the trigone. After discussing the case with gastroenterologists, we had presumed that the etiology of vesical varices may be the portal hypertension. CLINICAL DISCUSSION: Vesical varices are an extremely rare cause of hematuria. The most common cause of vesical varices reported in literature is portal hypertension. The vesical varices may remain asymptomatic for a long period and manifest with hematuria in some cases. In order to organize the management of bleeding vesical varices, a detailed cartography of vesical vascularization have to be performed, including cystoscopy and abdominal contrast tomography (10). No definitive treatment has been established for bleeding vesical varices. In case of gross hematuria, surgical devascularization, laser sclerosis and coagulation are often only of temporary effectiveness. CONCLUSION: Vesical varices are an extremely rare pathology. Its main etiology is Portal hypertension. The hematuria due to vesical varices could be life threatening. It requires energetic treatment. The goal of the treatment is portal decompression. Elsevier 2022-02-03 /pmc/articles/PMC8858757/ /pubmed/35242309 http://dx.doi.org/10.1016/j.amsu.2022.103286 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Rahoui, Moez
Rami, Boulma
hassen, Khouni
Vesical varices: An uncommon cause of gross hematuria in young men
title Vesical varices: An uncommon cause of gross hematuria in young men
title_full Vesical varices: An uncommon cause of gross hematuria in young men
title_fullStr Vesical varices: An uncommon cause of gross hematuria in young men
title_full_unstemmed Vesical varices: An uncommon cause of gross hematuria in young men
title_short Vesical varices: An uncommon cause of gross hematuria in young men
title_sort vesical varices: an uncommon cause of gross hematuria in young men
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8858757/
https://www.ncbi.nlm.nih.gov/pubmed/35242309
http://dx.doi.org/10.1016/j.amsu.2022.103286
work_keys_str_mv AT rahouimoez vesicalvaricesanuncommoncauseofgrosshematuriainyoungmen
AT ramiboulma vesicalvaricesanuncommoncauseofgrosshematuriainyoungmen
AT hassenkhouni vesicalvaricesanuncommoncauseofgrosshematuriainyoungmen