A Case of Exercise-Induced Hematuria Presenting as Gross Hematuria Lasting One Week
- Author:
Sun Young NA
1
;
Jiyoon SUNG
;
Ji Yong JUNG
;
Jae Hyun CHANG
;
Sejoong KIM
;
Wookyung CHUNG
;
Hyun Hee LEE
Author Information
1. Department of Internal Medicine, Gachon University Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea. lhh90@gilhospital.com
- Publication Type:Case Report
- Keywords:
Exercise-induced hematuria;
Gross hematuria
- MeSH:
Angiography;
Aorta;
Biopsy;
Cystoscopy;
Hematuria;
Humans;
Incidence;
Kidney;
Male;
Mesenteric Artery, Superior;
Phlebography;
Renal Veins;
Urinary Bladder;
Young Adult
- From:Korean Journal of Medicine
2012;82(1):95-99
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Exercise-induced hematuria is a phenomenon occurring in subjects who participate in strenuous exercise. Rapid resolution is an important feature of exercise-induced hematuria. We report here a case of exercise-induced hematuria presenting as gross hematuria lasting 1 week in a 19-year-old male patient. Gross hematuria developed after strenuous exercise about 3 years ago. Three months ago, recurrent gross hematuria was lasting 1 week, regardless of exercise intensity. Compression of the left renal vein between the aorta and superior mesenteric artery, without prominent venous collaterals, was detected by computed tomography. However, no abnormalities were detected by renal venography, arteriography or kidney biopsy. Exercise-induced hematuria occurs with a high incidence, but is self-limiting. In contrast, recurrent and gross hematuria can be associated with bladder carcinoma or vascular abnormality. This should be kept in mind, and urological evaluations such as cystoscopy and angiography are necessary in gross and recurrent hematuria.
