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Case Report

Superselective embolization of vesical arteries for management of hemorrhagic cystitis caused by BK polyomavirus


1 Department of Radiology, Istanbul Bilim University, Medical Faculty, Şişli Florence Nightingale Hospital, Istanbul, Turkey

2 Department of Urology, Istanbul Bilim University, Medical Faculty, Istanbul, Turkey

3 Department of Infectious Diseases and Clinical Microbiology Istanbul Bilim University, Medical Faculty, Istanbul, Turkey

4 Department of Haematology, Şişli Florence Nightingale Hospital, Istanbul, Turkey.


DOI :
New J Urol. 2018; 13 (3): 54-57
ABSTRACT

ABSTRACT

Intravesical ectopic pregnancy is a very rare condition. Unlike traditional ectopic pregnancies, patients generally present with hematuria.
Our case presented with abdominal pain and urinary bleeding. Abdominal tenderness was observed on physical examination. The ß-HCG was measured as 10033 IU / ml. In ultrasonography, an appearance compatible with a vesicouterine fistula tract and an ectopic gestational sac in the bladder were observed. In cystoscopy, a mass compatible with a fistula tract ostium and ectopic gestational sac was observed at the junction of the right side of the bladder and the posterior wall. The observed structure was resected and cauterized to achieve hemostasis. No complications were observed during the follow-up, and the patient was discharged.
Ectopic pregnancy should be one of the differential diagnosis of patients with a history of pelvic surgery who present with complaints of menstrual delay and hematuria.

Keywords: vesical pregnancy, vesicouterine fistula, hematuria

ABSTRACT

Intravesical ectopic pregnancy is a very rare condition. Unlike traditional ectopic pregnancies, patients generally present with hematuria.
Our case presented with abdominal pain and urinary bleeding. Abdominal tenderness was observed on physical examination. The ß-HCG was measured as 10033 IU / ml. In ultrasonography, an appearance compatible with a vesicouterine fistula tract and an ectopic gestational sac in the bladder were observed. In cystoscopy, a mass compatible with a fistula tract ostium and ectopic gestational sac was observed at the junction of the right side of the bladder and the posterior wall. The observed structure was resected and cauterized to achieve hemostasis. No complications were observed during the follow-up, and the patient was discharged.
Ectopic pregnancy should be one of the differential diagnosis of patients with a history of pelvic surgery who present with complaints of menstrual delay and hematuria.

Keywords: vesical pregnancy, vesicouterine fistula, hematuria

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