| Massive hematuria after cystoscopy in a patient with an internal iliac artery aneurysm. | |
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MedLine Citation:
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PMID: 12165025 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Ichiya Honma; Yoshio Takagi; Masanori Shigyo; Kenichi Sunaoshi; Masami Inaoka; Noriomi Miyao |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: International journal of urology : official journal of the Japanese Urological Association Volume: 9 ISSN: 0919-8172 ISO Abbreviation: Int. J. Urol. Publication Date: 2002 Jul |
Date Detail:
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Created Date: 2002-08-07 Completed Date: 2002-12-26 Revised Date: 2006-10-30 |
Medline Journal Info:
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Nlm Unique ID: 9440237 Medline TA: Int J Urol Country: Australia |
Other Details:
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Languages: eng Pagination: 407-9 Citation Subset: IM |
Affiliation:
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Department of Urology, Hakodate Goryoukaku Hospital, Hakodate, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aortic Aneurysm, Abdominal / complications* Aortic Rupture / complications* Cystoscopy / adverse effects* Hematuria / etiology* Humans Iliac Artery / abnormalities* Male Severity of Illness Index Tomography, X-Ray Computed |
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