Successful Management of Neobladder Variceal Bleeding

Journal Article · Sat Oct 15 04:00:00 EDT 2016 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-016-1395-1· OSTI ID:22645414

Atwal, Dinesh; Chatterjee, Kshitij ^[1]; Osborne, Scott ^[2]; Kakkera, Krishna; Deas, Steven ^[1]; Li, Ruizong ^[2]; Erbland, Marcia ^[1]

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1. University of Arkansas for Medical Sciences, Department of Internal Medicine, Residency Program: Slot 634 (United States)
2. University of Arkansas for Medical Sciences, Division of Interventional Radiology, Department of Radiology (United States)

Hematuria from a neobladder can occur due to a variety of pathologies including tumors, stones, and fistulas. Variceal bleeding in a neobladder is a very rare condition with only one case reported in literature. We present a case of a patient with cirrhosis and portal hypertension and an ileocolic orthotopic neobladder presenting with hematuria. Computed tomographic angiography showed dilated varices around the neobladder which were successfully embolized. To the best of our knowledge, this is the first report case of variceal bleeding in a neobladder successfully managed with the combination of TIPS (transjugular intrahepatic portosystemic shunt) procedure and embolization.

• OSTI ID: 22645414
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 10 Vol. 39; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BIOMEDICAL RADIOGRAPHY
BLOOD VESSELS
BYPASSES
HYPERTENSION
MANAGEMENT
NEOPLASMS
PATHOLOGY
PATIENTS