Hematuria Secondary to an Internal Iliac Artery Aneurysm
Makatsori Aikaterini, Stavropoulos Nikolaos E.,
소속 상세정보
( Makatsori Aikaterini )
Greece Hatzikosta General Hospital Department of Urology
( Stavropoulos Nikolaos E. )
Greece Hatzikosta General Hospital Department of Urology
KMID : 0358320100510080583
Abstract
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.
키워드
Aneurysm;Hematuria
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