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
Hauptverfasser: Honma, Ichiya, Takagi, Yoshio, Shigyo, Masanori, Sunaoshi, Kenichi, Inaoka, Masami, Miyao, Noriomi
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container_end_page 409
container_issue 7
container_start_page 407
container_title International journal of urology
container_volume 9
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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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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