Top

CardioVascular and Interventional Radiology

Published in:

01-10-2016 | Case Report

Successful Management of Neobladder Variceal Bleeding

Authors: Dinesh Atwal, Kshitij Chatterjee, Scott Osborne, Krishna Kakkera, Steven Deas, Ruizong Li, Marcia Erbland

Published in: CardioVascular and Interventional Radiology | Issue 10/2016

Abstract

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.

Helmy A, Al-Kahtani K, Al-Fadda M. Updates in the pathogenesis, diagnosis and management of ectopic varices. Hepatol Int. 2008;2:322–34.CrossRefPubMedPubMedCentral

Gaspar Y, Detry O, de Level J. Vesical varices in a patient with portal hypertension. N Engl J Med. 2001;345(20):1503–4.CrossRefPubMed

Kim M, Al-Khalili R, Miller J. Vesical varices: an unusual presentation of portal hypertension. Clin Imaging. 2015;39(5):920–2.CrossRefPubMed

Kaur R, Abdullah B, Dublin N. Vesical varices in neobladder secondary to portal hypertension. Eur J Radiol Extra. 2009;69:e25–7.CrossRef

Oderda M, Mondino P, Lucca I, et al. Fatal haematuria in a patient with an orthotopic neobladder and chronic liver failure. Urol Int. 2009;83(3):368–9.CrossRefPubMed

Norton I, Andrews J, Kamath P. Management of ectopic varices. Hepatology. 1998;28(4):1154–8.CrossRefPubMed

Sanyal A, Bosch J, Blei A, Arroyo V. Portal hypertension and its complications. Gastroenterology. 2008;134:1715–28.CrossRefPubMed

Misra S, Dwivedi M, Misra V, Gupta M. Ileal varices and portal hypertensive ileopathy in patients with cirrhosis and portal hypertension. Gastrointest Endosc. 2004;60(5):778–83.CrossRefPubMed

Takahiro S. Treatment of ectopic varices with portal hypertension. World J Hepatol. 2015;7(12):1601–5.CrossRef

10.

Sabri SS, Saad WEA. Balloon-occluded retrograde transvenous obliteration (BRTO): technique and intraprocedural imaging. Semin Interv Radiol. 2011;28(3):303–13.CrossRef

11.

Vangeli M, Patch D, Terreni N, Tibballs J, Watkinson A, Davies N, Burroughs A. Bleeding ectopic varices—treatment with transjugular intrahepatic porto-systemic shunt (TIPS) and embolisation. J Hepatol. 2004;41(4):560–6.CrossRefPubMed

Title: Successful Management of Neobladder Variceal Bleeding
Authors: Dinesh Atwal
Kshitij Chatterjee
Scott Osborne
Krishna Kakkera
Steven Deas
Ruizong Li
Marcia Erbland
Publication date: 01-10-2016
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 10/2016
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-016-1395-1

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Successful Management of Neobladder Variceal Bleeding

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 10/2016

Does Technical Success of Angioplasty in Dysfunctional Hemodialysis Accesses Correlate with Access Patency?

Treatment Outcome Following Transarterial Chemoembolization in Advanced Bone and Soft Tissue Sarcomas

Technical and Clinical Outcomes Following Colonic Stenting: A Seven-Year Analysis of 268 Procedures

Pharmacokinetics, Safety, and Efficacy of Chemoembolization with Doxorubicin-Loaded Tightly Calibrated Small Microspheres in Patients with Hepatocellular Carcinoma

Percutaneous Biopsy and Radiofrequency Ablation of Osteoid Osteoma with Excess Reactive New Bone Formation and Cortical Thickening Using a Battery-Powered Drill for Access: A Technical Note

Letter to Editor