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Exertional (march) haemoglobinuria
A H Schuurman1, R S Breederveld, J A Rauwerda
1Department of Surgery, Academic Hospital, Free University, Amsterdam, The Netherlands.
The Netherlands Journal of Surgery
|April 1, 1991
Insights
Two patients experienced cherry-red urine after exercise due to long saphenous vein varicosity. Surgical treatment resolved the haemoglobinuria, with no recurrence observed in follow-up periods.
Area of Science:
- Vascular Surgery
- Nephrology
- Exercise Physiology
Background:
- Varicosity of the long saphenous veins can lead to various clinical manifestations.
- Strenuous physical activity can precipitate unusual symptoms in individuals with underlying vascular conditions.
Observation:
- Two patients presented with recurrent episodes of cherry-red urine following strenuous exercise.
- Both patients were diagnosed with varicosity of the long saphenous veins.
Findings:
- Surgical intervention, specifically crossectomy of the long saphenous vein and resection of convolutes, effectively treated the condition.
- The haemoglobinuria resolved completely after the surgical procedures.
Implications:
- This case series suggests a potential link between long saphenous vein varicosity and exercise-induced haemoglobinuria.
- Surgical management appears to be a definitive treatment for this specific presentation.
- Further research may elucidate the pathophysiological mechanisms connecting venous varicosity and haemoglobinuria during exercise.
Abstract:
The case history is presented of two patients with attacks of cherry-red urine after strenuous exercise. Both had varicosity of the long saphenous veins. Haemoglobinuria disappeared after crossectomy of the long saphenous vein and resection of the convolutes. After one and two years, they have no recurrence.