Hematuria Leads to a New Diagnosis of Cirrhosis

Cristina Angelo; Allison Tan; Dina Halegoua-De Marzio; Jonathan M Fenkel

doi:10.1159/000525403

Hematuria Leads to a New Diagnosis of Cirrhosis

Case Rep Gastroenterol. 2022 Jul 7;16(2):446-451. doi: 10.1159/000525403. eCollection 2022 May-Aug.

Authors

Cristina Angelo¹, Allison Tan², Dina Halegoua-De Marzio³, Jonathan M Fenkel³

Affiliations

¹ Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
² Division of Interventional Radiology, Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
³ Division of Gastroenterology and Hepatology, Department of Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Abstract

A known consequence of portal hypertension is the development of varices, which are described as "ectopic" when located at unusual sites in the abdomen. Ectopic varices carry a mortality rate as high as 40% after initial hemorrhagic episode. We report a patient who presented with hematuria secondary to bladder varices as the presenting symptom for a new diagnosis of cirrhosis. Cross-sectional imaging, early recognition of this rare event, combined with multidisciplinary management was essential for this patient to have a successful outcome.

Keywords: Cirrhosis; Ectopic varices; Hematuria.

Publication types

Case Reports