Vesical varices: an unusual presentation of portal hypertension

Kim, Marianne; Al-Khalili, Rend; Miller, J

doi:10.1016/j.clinimag.2015.04.011

Cited by 7 publications

(12 citation statements)

References 15 publications

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“…The most common cause of bladder varices reported in literature is portal hypertension. Usually, varices due to portal hypertension develop in the gastroesophageal region [ 1 ]. However, when the usual splanchnic-bed collaterals cannot develop, ectopic varices may appear.…”

Section: Discussionmentioning

confidence: 99%

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

Rahoui

Boulma

Khouni

2022

Annals of Medicine &Amp; Surgery

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Section: Discussionmentioning

confidence: 99%

“…The most common cause of vesical varices reported in literature is portal hypertension. Usually, varices due to portal hypertension develop in the gastroesophageal region [ 1 ]. The hematuria due to unusual conditions including vesical varices could be life threatening [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

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

Rahoui

Boulma

Khouni

2022

Annals of Medicine &Amp; Surgery

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“…The causes of bladder varicose veins can be divided into secondary and primary causes. Secondary vesical varices are related to portal hypertension[ 4 - 7 ], schistosomiasis[ 8 ], pregnancy[ 9 ], ataxia[ 10 ], Klippel-Trenaunay syndrome[ 11 ], iliac vein thrombosis, and retroperitoneal fibrosis[ 12 ]. In previous reports, vesical varices caused by portal hypertension were the most common.…”

Section: Discussionmentioning

confidence: 99%

“…Ectopic varices often appear when the usual collateral veins from portal hypertension may have been disrupted by surgical ligation, sclerotherapy, adhesions, and other treatments. Kim et al [ 7 ] described a patient who had not undergone prior interventions that altered portal pressure dynamics and had vesical varices with portal hypertension. In addition, Lipsich et al [ 13 ] and Lim et al [ 14 ] each reported a case of ectopic varices in a male patient in the bowel who had a history of bladder substitution with ileal segments due to urinary system disease.…”

Section: Discussionmentioning

confidence: 99%

Severe hematuria due to vesical varices in a patient with portal hypertension: A case report

Wei¹,

Zhu²,

Yu³

et al. 2021

WJCC

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BACKGROUND Hematuria is one of the most common clinical symptoms for urologists and is typically observed in urinary system tumors, prostate hyperplasia, and urinary stone disease. Hematuria due to vesical varices is very rare, and only a few cases have been reported since 1989. We report the first case of vesical varices due to portal hypertension with aberrant development and functioning of the genitourinary system along with the complete diagnosis and treatment process. CASE SUMMARY This patient was a 53-year-old man with a history of aberrant development of the genitourinary system and hepatitis B-associated cirrhosis. He was admitted to the emergency department with severe hematuria and bladder clot tamponade. Many abnormally dilated blood vessels were found surrounding the bladder in the pelvis by color Doppler ultrasound, contrast-enhanced computed tomography, and three-dimensional visualization technology. It was difficult to perform transurethral cystoscopy and hemostasis in this patient, so we performed open surgical bladder exploration for hemostasis and surgical devascularization around the bladder. CONCLUSION Urologists should improve the understanding of the pathophysiology, clinical manifestations, diagnosis, and treatment of vesical varices. This case may be presented as a reference for the diagnosis and management of severe hematuria due to vesical varices.

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“…Distinguishing features from hemorrhoids are the location of the varices above the dentate line of the rectum and compressibility on endoscopy. 13 Other rare, atypical locations have been described, including biliary tract varices, usually seen in patients with portal vein thrombosis due to peribiliary collaterals, 15 vesical varices, 6 umbilical, cutaneous, reproductive tract, and intraperitoneal varices, such as splenorenal ligament varices. 13…”

Section: Anatomic Considerationsmentioning

confidence: 99%

Variceal Hemorrhage: Decompression, Obliteration, or Both?

McCafferty

Khudari

Salei

et al. 2022

Digestive Disease Interventions

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Variceal hemorrhage is a morbid condition that frequently mandates the involvement of interventional radiology to achieve successful and sustained hemostasis. Primary image-guided therapies for variceal hemorrhage include a transjugular intrahepatic portosystemic shunt and transvenous obliteration. Knowledge of variceal pathophysiology and anatomy, current techniques, and the evidence supporting therapeutic selection is paramount to successful patient outcomes. The purpose of this review is to provide the reader a framework of the available literature on image-guided management of bleeding varices to assist in clinical management.

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Vesical varices: an unusual presentation of portal hypertension

Cited by 7 publications

References 15 publications

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

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

Severe hematuria due to vesical varices in a patient with portal hypertension: A case report

Variceal Hemorrhage: Decompression, Obliteration, or Both?

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