Massive hematuria after cystoscopy in a patient with an internal iliac artery aneurysm
An unusual case is reported here of a patient with internal iliac artery aneurysm who developed massive hematuria after cystoscopic examination. A 75‐year‐old man presented with asymptomatic gross hematuria. Cystoscopic examination revealed that the bladder neck was congested and that the right‐side...
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Veröffentlicht in: | International journal of urology 2002-07, Vol.9 (7), p.407-409 |
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creator | Honma, Ichiya Takagi, Yoshio Shigyo, Masanori Sunaoshi, Kenichi Inaoka, Masami Miyao, Noriomi |
description | An unusual case is reported here of a patient with internal iliac artery aneurysm who developed massive hematuria after cystoscopic examination. A 75‐year‐old man presented with asymptomatic gross hematuria. Cystoscopic examination revealed that the bladder neck was congested and that the right‐side wall was being pressed on by an extrinsic mass. Computed tomography showed a right internal iliac artery aneurysm and tortuous perivesical vessels. Three days after the cystoscopic examination the patient suffered massive hematuria. Hemorrhage due to an arteriovesical or arterio‐ureteral fistula secondary to rupture of the internal iliac artery aneurysm was suspected, and an emergency operation was performed. At operation the aneurysm had not ruptured but overswelling perivesical vessels were found to have developed, and these fed a high blood flow to the bladder neck. In the present case cystoscopic examination injured the mucosa and led to massive hemorrhage from the bladder neck. |
doi_str_mv | 10.1046/j.1442-2042.2002.00485.x |
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A 75‐year‐old man presented with asymptomatic gross hematuria. Cystoscopic examination revealed that the bladder neck was congested and that the right‐side wall was being pressed on by an extrinsic mass. Computed tomography showed a right internal iliac artery aneurysm and tortuous perivesical vessels. Three days after the cystoscopic examination the patient suffered massive hematuria. Hemorrhage due to an arteriovesical or arterio‐ureteral fistula secondary to rupture of the internal iliac artery aneurysm was suspected, and an emergency operation was performed. At operation the aneurysm had not ruptured but overswelling perivesical vessels were found to have developed, and these fed a high blood flow to the bladder neck. In the present case cystoscopic examination injured the mucosa and led to massive hemorrhage from the bladder neck.</description><identifier>ISSN: 0919-8172</identifier><identifier>EISSN: 1442-2042</identifier><identifier>DOI: 10.1046/j.1442-2042.2002.00485.x</identifier><identifier>PMID: 12165025</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Science Pty</publisher><subject>Aged ; Aortic Aneurysm, Abdominal - complications ; Aortic Rupture - complications ; cystoscopy ; Cystoscopy - adverse effects ; hematuria ; Hematuria - etiology ; Humans ; Iliac Artery - abnormalities ; internal iliac artery aneurysm ; Male ; Severity of Illness Index ; Tomography, X-Ray Computed</subject><ispartof>International journal of urology, 2002-07, Vol.9 (7), p.407-409</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4555-ccdd953fa19de57725cd1b6bb1d3c762f6abd8c74aa27f7f2b1ef0f598a1ad793</citedby><cites>FETCH-LOGICAL-c4555-ccdd953fa19de57725cd1b6bb1d3c762f6abd8c74aa27f7f2b1ef0f598a1ad793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1442-2042.2002.00485.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1442-2042.2002.00485.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12165025$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Honma, Ichiya</creatorcontrib><creatorcontrib>Takagi, Yoshio</creatorcontrib><creatorcontrib>Shigyo, Masanori</creatorcontrib><creatorcontrib>Sunaoshi, Kenichi</creatorcontrib><creatorcontrib>Inaoka, Masami</creatorcontrib><creatorcontrib>Miyao, Noriomi</creatorcontrib><title>Massive hematuria after cystoscopy in a patient with an internal iliac artery aneurysm</title><title>International journal of urology</title><addtitle>Int J Urol</addtitle><description>An unusual case is reported here of a patient with internal iliac artery aneurysm who developed massive hematuria after cystoscopic examination. A 75‐year‐old man presented with asymptomatic gross hematuria. Cystoscopic examination revealed that the bladder neck was congested and that the right‐side wall was being pressed on by an extrinsic mass. Computed tomography showed a right internal iliac artery aneurysm and tortuous perivesical vessels. Three days after the cystoscopic examination the patient suffered massive hematuria. Hemorrhage due to an arteriovesical or arterio‐ureteral fistula secondary to rupture of the internal iliac artery aneurysm was suspected, and an emergency operation was performed. At operation the aneurysm had not ruptured but overswelling perivesical vessels were found to have developed, and these fed a high blood flow to the bladder neck. In the present case cystoscopic examination injured the mucosa and led to massive hemorrhage from the bladder neck.</description><subject>Aged</subject><subject>Aortic Aneurysm, Abdominal - complications</subject><subject>Aortic Rupture - complications</subject><subject>cystoscopy</subject><subject>Cystoscopy - adverse effects</subject><subject>hematuria</subject><subject>Hematuria - etiology</subject><subject>Humans</subject><subject>Iliac Artery - abnormalities</subject><subject>internal iliac artery aneurysm</subject><subject>Male</subject><subject>Severity of Illness Index</subject><subject>Tomography, X-Ray Computed</subject><issn>0919-8172</issn><issn>1442-2042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtOwzAQRS0EgvL4BeQVuwTbieNEYoMKFBAPCfFYWhPHVl2SptgJNH-PSyvYsrI9c-6MdRDClMSUpNnpLKZpyiJGUhYzQlhMSJrzeLmFRr-NbTQiBS2inAq2h_a9nxFCE0bzXbRHGc04YXyEXu_Be_up8VQ30PXOAgbTaYfV4LvWq3YxYDvHgBfQWT3v8JftphjmoRioOdTY1hYUBheeQ2jo3g2-OUQ7BmqvjzbnAXq5unweX0d3j5Ob8fldpFLOeaRUVRU8MUCLSnMhGFcVLbOypFWiRMZMBmWVK5ECMGGEYSXVhhhe5EChEkVygE7Wcxeu_ei172RjvdJ1HT7S9l4KWuQiJVkA8zWoXOu900YunG3ADZISuXIqZ3KlTq7UyZVT-eNULkP0eLOjLxtd_QU3EgNwtga-bK2Hfw-WN7cv4RLi0TpufaeXv3Fw7zITieDy7WEiJ_zp4uKVPEmRfAP_z5Xw</recordid><startdate>200207</startdate><enddate>200207</enddate><creator>Honma, Ichiya</creator><creator>Takagi, Yoshio</creator><creator>Shigyo, Masanori</creator><creator>Sunaoshi, Kenichi</creator><creator>Inaoka, Masami</creator><creator>Miyao, Noriomi</creator><general>Blackwell Science Pty</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200207</creationdate><title>Massive hematuria after cystoscopy in a patient with an internal iliac artery aneurysm</title><author>Honma, Ichiya ; Takagi, Yoshio ; Shigyo, Masanori ; Sunaoshi, Kenichi ; Inaoka, Masami ; Miyao, Noriomi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4555-ccdd953fa19de57725cd1b6bb1d3c762f6abd8c74aa27f7f2b1ef0f598a1ad793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Aged</topic><topic>Aortic Aneurysm, Abdominal - complications</topic><topic>Aortic Rupture - complications</topic><topic>cystoscopy</topic><topic>Cystoscopy - adverse effects</topic><topic>hematuria</topic><topic>Hematuria - etiology</topic><topic>Humans</topic><topic>Iliac Artery - abnormalities</topic><topic>internal iliac artery aneurysm</topic><topic>Male</topic><topic>Severity of Illness Index</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Honma, Ichiya</creatorcontrib><creatorcontrib>Takagi, Yoshio</creatorcontrib><creatorcontrib>Shigyo, Masanori</creatorcontrib><creatorcontrib>Sunaoshi, Kenichi</creatorcontrib><creatorcontrib>Inaoka, Masami</creatorcontrib><creatorcontrib>Miyao, Noriomi</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Honma, Ichiya</au><au>Takagi, Yoshio</au><au>Shigyo, Masanori</au><au>Sunaoshi, Kenichi</au><au>Inaoka, Masami</au><au>Miyao, Noriomi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Massive hematuria after cystoscopy in a patient with an internal iliac artery aneurysm</atitle><jtitle>International journal of urology</jtitle><addtitle>Int J Urol</addtitle><date>2002-07</date><risdate>2002</risdate><volume>9</volume><issue>7</issue><spage>407</spage><epage>409</epage><pages>407-409</pages><issn>0919-8172</issn><eissn>1442-2042</eissn><abstract>An unusual case is reported here of a patient with internal iliac artery aneurysm who developed massive hematuria after cystoscopic examination. A 75‐year‐old man presented with asymptomatic gross hematuria. Cystoscopic examination revealed that the bladder neck was congested and that the right‐side wall was being pressed on by an extrinsic mass. Computed tomography showed a right internal iliac artery aneurysm and tortuous perivesical vessels. Three days after the cystoscopic examination the patient suffered massive hematuria. Hemorrhage due to an arteriovesical or arterio‐ureteral fistula secondary to rupture of the internal iliac artery aneurysm was suspected, and an emergency operation was performed. At operation the aneurysm had not ruptured but overswelling perivesical vessels were found to have developed, and these fed a high blood flow to the bladder neck. In the present case cystoscopic examination injured the mucosa and led to massive hemorrhage from the bladder neck.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Science Pty</pub><pmid>12165025</pmid><doi>10.1046/j.1442-2042.2002.00485.x</doi><tpages>3</tpages></addata></record> |
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subjects | Aged Aortic Aneurysm, Abdominal - complications Aortic Rupture - complications cystoscopy Cystoscopy - adverse effects hematuria Hematuria - etiology Humans Iliac Artery - abnormalities internal iliac artery aneurysm Male Severity of Illness Index Tomography, X-Ray Computed |
title | Massive hematuria after cystoscopy in a patient with an internal iliac artery aneurysm |
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