title: Massive hematuria due to portal hypertension in a child with bladder augmentation for vesical exstrophy.
abstract: We report a case of a 17-year-old patient with severe hematuria from an ileocystoplasty-augmented bladder for vesical exstrophy, with associated cirrhosis secondary to autoimmune hepatitis, diagnosed years later. Varix development and further bleeding from ectopic varices, related to cirrhosis and portal hypertension, are a rare cause of hematuria in patients with surgically augmented bladder volume. This child was successfully treated with a transjugular intrahepatic portosystemic shunt procedure as a bridge to hepatic transplantation.
authors.affiliation: Department of Interventional Radiology, Hospital de Pediatría Prof JP Garrahan, Combate de los Pozos 1881 (1245), Buenos Aires, Argentina.
authors.forename: José
authors.initials: J
authors.lastname: Lipsich
authors.forename: Luis
authors.initials: L
authors.lastname: Rojas
authors.forename: José
authors.initials: J
authors.lastname: Alonso
authors.forename: Darío
authors.initials: D
authors.lastname: Teplisky
authors.forename: Alicia
authors.initials: A
authors.lastname: Halac
authors.forename: Fernando
authors.initials: F
authors.lastname: Alvarez
authors.forename: Sergio
authors.initials: S
authors.lastname: Sierre
mesh_terms: D000293:Adolescent; D001746:Bladder Exstrophy / Q000601:surgery*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006417:Hematuria / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D010690:Phlebography; D019168:Portasystemic Shunt, Transjugular Intrahepatic / Q000379:methods; D018615:Ultrasonography, Doppler, Color; D014547:Urinary Diversion / Q000009:adverse effects*