Management of bleeding-associated severe gastritis of the gastric mucosa in a patient with a gastrocystoplasty.
Gastrocystoplasty is a form of bladder augmentation (neobladder), where a segment of the stomach is surgically attached to the urinary bladder to increase bladder capacity and compliance. Although bleeding and malignant complications of gastrocystoplasty have been reported, the risks of these complications in the setting of gastrocystoplasty are not known. We describe the case of a 58-year-old African American woman with a history of a congenital solitary kidney, chronic kidney disease, and status postgastrocystoplasty and catheterizable umbilical stoma 21 years ago for neurogenic bladder presented with gross hematuria. To the best of our knowledge, this is the first reported case of gastrocystoplasty with a bleeding complication that has endoscopic pictures before and after treatment with proton pump inhibitor.
*Atlanta Medical Center Departments of †Urology ‡Gastroenterology, Emory University, Atlanta, GA.
Yasir
Y
Al-Azzawi
Niall
N
Galloway
Steven
S
Keilin
D013505:Digestive System Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D005260:Female; D005753:Gastric Mucosa / Q000473:pathology*; D005756:Gastritis / Q000209:etiology / Q000473:pathology* / Q000628:therapy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000473:pathology; D012720:Severity of Illness Index; D013270:Stomach / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery