title: Vesical varices: an unusual presentation of portal hypertension.
abstract: We present a case of vesical varices manifesting as hematuria in a patient with severe portal hypertension. Vesical varices are an uncommon type of ectopic varices in patients with portal hypertension and are usually seen in patients who have undergone prior interventions that alter portal pressure dynamics. Our case demonstrates that this unusual entity was present in a patient without prior intervention and serves as reminder to assess for ectopic varices in order to mitigate or prevent associated morbidity.
authors.affiliation: Department of Radiology, Rutgers-New Jersey Medical School, 150 Bergen St, Newark, NJ 07103, USA. Electronic address: mariannekim@gmail.com.
authors.forename: Marianne
authors.initials: M
authors.lastname: Kim
authors.affiliation: Department of Radiology, Columbia University Medical Center, 622 W 168th St PB-1-301, New York, NY 10032, USA.
authors.forename: Rend
authors.initials: R
authors.lastname: Al-Khalili
authors.affiliation: Department of Radiology, East Orange VA Medical Center, 385 Tremont Ave, East Orange, NJ 07081, USA.
authors.forename: Jeffery
authors.initials: J
authors.lastname: Miller
mesh_terms: D003937:Diagnosis, Differential; D006417:Hematuria / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color / Q000379:methods; D001743:Urinary Bladder / Q000098:blood supply* / Q000000981:diagnostic imaging; D014648:Varicose Veins / Q000150:complications* / Q000175:diagnosis
keywords: Computed tomography; Portal hypertension; Ultrasound; Vesical varices