Successful Management of Neobladder Variceal Bleeding |
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| Authors: | Dinesh Atwal Kshitij Chatterjee Scott Osborne Krishna Kakkera Steven Deas Ruizong Li Marcia Erbland |
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| Institution: | 1.Department of Internal Medicine, Residency Program: Slot 634,University of Arkansas for Medical Sciences,Little Rock,USA;2.Division of Interventional Radiology, Department of Radiology,University of Arkansas for Medical Sciences,Little Rock,USA;3.Division of Pulmonary and Critical Care Medicine, Department of Medicine,University of Arkansas for Medical Sciences,Little Rock,USA |
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| 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. |
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