Published online Jun 26, 2021. doi: 10.12998/wjcc.v9.i18.4810
Peer-review started: January 25, 2021
First decision: March 25, 2021
Revised: April 2, 2021
Accepted: April 23, 2021
Article in press: April 23, 2021
Published online: June 26, 2021
Processing time: 137 Days and 5.1 Hours
Hematuria is one of the most common clinical symptoms for urologists and is typically observed in urinary system tumors, prostate hyperplasia, and urinary stone disease. Hematuria due to vesical varices is very rare, and only a few cases have been reported since 1989. We report the first case of vesical varices due to portal hypertension with aberrant development and functioning of the geni
This patient was a 53-year-old man with a history of aberrant development of the genitourinary system and hepatitis B-associated cirrhosis. He was admitted to the emergency department with severe hematuria and bladder clot tamponade. Many abnormally dilated blood vessels were found surrounding the bladder in the pelvis by color Doppler ultrasound, contrast-enhanced computed tomography, and three-dimensional visualization technology. It was difficult to perform transurethral cystoscopy and hemostasis in this patient, so we performed open surgical bladder exploration for hemostasis and surgical devascularization around the bladder.
Urologists should improve the understanding of the pathophysiology, clinical manifestations, diagnosis, and treatment of vesical varices. This case may be presented as a reference for the diagnosis and management of severe hematuria due to vesical varices.
Core Tip: Hematuria due to vesical varices is very rare. Here, we report a case of vesical varices due to portal hypertension with aberrant development and functioning of the genitourinary system, review the literature, and discuss its pathophysiology, clinical manifestations, diagnosis, and treatment.