Hematuria Leads to a New Diagnosis of Cirrhosis

A known consequence of portal hypertension is the development of varices, which are described as “ectopic” when located at unusual sites in the abdomen. Ectopic varices carry a mortality rate as high as 40% after initial hemorrhagic episode. We report a patient who presented with hematuria secondary...

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Main Authors: Cristina Angelo, Allison Tan, Dina Halegoua-De Marzio, Jonathan M. Fenkel
Format: Article
Language:English
Published: Karger Publishers 2022-07-01
Series:Case Reports in Gastroenterology
Subjects:
Online Access:https://beta.karger.com/Article/FullText/525403
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author Cristina Angelo
Allison Tan
Dina Halegoua-De Marzio
Jonathan M. Fenkel
author_facet Cristina Angelo
Allison Tan
Dina Halegoua-De Marzio
Jonathan M. Fenkel
author_sort Cristina Angelo
collection DOAJ
description A known consequence of portal hypertension is the development of varices, which are described as “ectopic” when located at unusual sites in the abdomen. Ectopic varices carry a mortality rate as high as 40% after initial hemorrhagic episode. We report a patient who presented with hematuria secondary to bladder varices as the presenting symptom for a new diagnosis of cirrhosis. Cross-sectional imaging, early recognition of this rare event, combined with multidisciplinary management was essential for this patient to have a successful outcome.
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spelling doaj.art-ac997b0f0c66480495feb051553c48ac2022-12-22T00:53:36ZengKarger PublishersCase Reports in Gastroenterology1662-06312022-07-0116244645110.1159/000525403525403Hematuria Leads to a New Diagnosis of CirrhosisCristina Angelo0Allison Tan1https://orcid.org/0000-0002-3506-3154Dina Halegoua-De Marzio2https://orcid.org/0000-0001-8298-5381Jonathan M. Fenkel3Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, PA, USADivision of Interventional Radiology, Department of Radiology, Thomas Jefferson University, Philadelphia, PA, USADivision of Gastroenterology and Hepatology, Department of Medicine, Thomas Jefferson University, Philadelphia, PA, USADivision of Gastroenterology and Hepatology, Department of Medicine, Thomas Jefferson University, Philadelphia, PA, USAA known consequence of portal hypertension is the development of varices, which are described as “ectopic” when located at unusual sites in the abdomen. Ectopic varices carry a mortality rate as high as 40% after initial hemorrhagic episode. We report a patient who presented with hematuria secondary to bladder varices as the presenting symptom for a new diagnosis of cirrhosis. Cross-sectional imaging, early recognition of this rare event, combined with multidisciplinary management was essential for this patient to have a successful outcome.https://beta.karger.com/Article/FullText/525403ectopic variceshematuriacirrhosis
spellingShingle Cristina Angelo
Allison Tan
Dina Halegoua-De Marzio
Jonathan M. Fenkel
Hematuria Leads to a New Diagnosis of Cirrhosis
Case Reports in Gastroenterology
ectopic varices
hematuria
cirrhosis
title Hematuria Leads to a New Diagnosis of Cirrhosis
title_full Hematuria Leads to a New Diagnosis of Cirrhosis
title_fullStr Hematuria Leads to a New Diagnosis of Cirrhosis
title_full_unstemmed Hematuria Leads to a New Diagnosis of Cirrhosis
title_short Hematuria Leads to a New Diagnosis of Cirrhosis
title_sort hematuria leads to a new diagnosis of cirrhosis
topic ectopic varices
hematuria
cirrhosis
url https://beta.karger.com/Article/FullText/525403
work_keys_str_mv AT cristinaangelo hematurialeadstoanewdiagnosisofcirrhosis
AT allisontan hematurialeadstoanewdiagnosisofcirrhosis
AT dinahalegouademarzio hematurialeadstoanewdiagnosisofcirrhosis
AT jonathanmfenkel hematurialeadstoanewdiagnosisofcirrhosis