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Related Experiment Videos

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
PubMed
Summary
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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:

Related Experiment Videos

  • 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.