Vesical varices as a complication of liver cirrhosis and portal hypertension (a case report and literature analysis)

VernacularTitle:门脉高压致膀胱静脉曲张一例报告并文献分析
Author: Yushi ZHANG ; Dong WANG ; Hanzhong LI ; Xue YANG ; Yi ZHOU
Publication Type:Journal Article
Keywords: Vesical varices; Portal hypertension
From: Chinese Journal of Urology 2010;31(8):547-549
CountryChina
Language:Chinese
Abstract: Objective Improve understanding the clinical features of bladder varices with portal hypertension. Methods A 63-year-old male manifested seven episodes of painless gross hematuria and had a 9-year history of liver cirrhosis. Physical examination was unremarkable. There was thrombocytopenia of 56 × 109/L. Ultrasound showed splenomegaly. Cystoscopy revealed a 3. 0 cm × 5.0 cm sized hemangiomatous on the left lateral and anterior wall of the bladder. Computed tomography angiography revealed the vesical varicose veins flowing into the inferior mesenteric vein and then to the splenic vein. Results The patient was diagnosed vesical varices, liver cirrhosis and portal hypertension. Performed perivesical devascularization and in ultrasound one month after the operation the variees disappears. Conclusion Vesical varices can occur in liver cirrhosis and portal hypertension patients without history of abdominal and pelvic operation, and can be treated by perivesical devascularization.