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Bladder Varices Caused by Portal Hypertension
Yushi Zhang1, Hanzhong Li2, Dong Wang1
1Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Science, Peking Union Medical College, 1 Shuaifuyuan Dongcheng District, Beijing, 100730, China.
Cell Biochemistry and Biophysics
|March 1, 2015
Summary
Bladder varices, a rare complication of portal hypertension, can occur without prior surgery. Perivesical devascularization effectively treated this condition in a patient with hepatic cirrhosis.
Area of Science:
- Urology
- Hepatology
- Vascular Surgery
Background:
- Portal hypertension is a common complication of hepatic cirrhosis.
- Bladder varices are a rare manifestation, often associated with surgical shunts.
- This case highlights non-surgical etiology of bladder varices.
Observation:
- A 63-year-old male with hepatic cirrhosis presented with painless gross hematuria.
- Imaging revealed bladder varices connected to the inferior mesenteric and portal veins.
- Splenomegaly and thrombocytopenia were noted.
Findings:
- Diagnosis of hepatic cirrhosis, portal hypertension, and bladder varices confirmed.
- Perivesical devascularization was performed as the treatment modality.
- Successful treatment resulted in the absence of varices on follow-up ultrasound.
Implications:
- Bladder varices should be considered in cirrhotic patients with hematuria, even without surgical history.
- Perivesical devascularization offers a safe and effective treatment option.
- This case expands understanding of bladder varix etiology and management.
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