Successful Management of Neobladder Variceal Bleeding.
Hematuria from a neobladder can occur due to a variety of pathologies including tumors, stones, and fistulas. Variceal bleeding in a neobladder is a very rare condition with only one case reported in literature. We present a case of a patient with cirrhosis and portal hypertension and an ileocolic orthotopic neobladder presenting with hematuria. Computed tomographic angiography showed dilated varices around the neobladder which were successfully embolized. To the best of our knowledge, this is the first report case of variceal bleeding in a neobladder successfully managed with the combination of TIPS (transjugular intrahepatic portosystemic shunt) procedure and embolization.
Department of Internal Medicine, Residency Program: Slot 634, University of Arkansas for Medical Sciences, 4301 W Markham Street, Little Rock, AR, 72205, USA.
Dinesh
D
Atwal
Department of Internal Medicine, Residency Program: Slot 634, University of Arkansas for Medical Sciences, 4301 W Markham Street, Little Rock, AR, 72205, USA. kchatterjee@uams.edu.
Kshitij
K
Chatterjee
Division of Interventional Radiology, Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Scott
S
Osborne
Department of Internal Medicine, Residency Program: Slot 634, University of Arkansas for Medical Sciences, 4301 W Markham Street, Little Rock, AR, 72205, USA.|Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Krishna
K
Kakkera
Department of Internal Medicine, Residency Program: Slot 634, University of Arkansas for Medical Sciences, 4301 W Markham Street, Little Rock, AR, 72205, USA.|Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Steven
S
Deas
Division of Interventional Radiology, Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Ruizong
R
Li
Department of Internal Medicine, Residency Program: Slot 634, University of Arkansas for Medical Sciences, 4301 W Markham Street, Little Rock, AR, 72205, USA.|Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Marcia
M
Erbland
D003131:Combined Modality Therapy; D000072226:Computed Tomography Angiography; D004621:Embolization, Therapeutic; D006417:Hematuria / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D016476:Urinary Reservoirs, Continent; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000628:therapy*
Hematuria/etiology; Urinary reservoirs, continent; Varicose veins/complications