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Hematuria secondary to an internal iliac artery aneurysm.
MedLine Citation:
PMID:  20733967     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We report a case of macroscopic hematuria secondary to an aneurysm of the internal iliac artery. An 84-year-old male presented to our department with a 12-hour history of painless gross hematuria. Cystoscopy showed decreased expansion suggesting compression from outside the bladder. At the point of compression, increased vascularization was noted in the bladder mucosa without evidence of active bleeding. No trace of blood was identified coming from the ureteric orifices, the bladder neck, or the prostate. There was no evidence of intra-vesicular masses or other inflammatory changes. The abdominal computed tomography scan revealed left-sided hydronephrosis and an abdominal aortic aneurysm involving the aortic bifurcation and both internal iliac arteries. There was no evidence of rupture. An aneurysm of the internal iliac artery is a rare cause of macroscopic hematuria that can be fatal. Awareness of this as a possible cause of hematuria may assist in immediate diagnosis and appropriate treatment.
Authors:
Aikaterini Makatsori; Nikolaos E Stavropoulos
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Publication Detail:
Type:  Journal Article     Date:  2010-08-18
Journal Detail:
Title:  Korean journal of urology     Volume:  51     ISSN:  2005-6745     ISO Abbreviation:  Korean J Urol     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-08-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101499376     Medline TA:  Korean J Urol     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  583-5     Citation Subset:  -    
Affiliation:
Department of Urology, Hatzikosta General Hospital, Ioannina, Greece.
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