A 36 year- old male patient who had received an allogeneic stem cell transplanta-tion from a non- familial identical donor for the treatment of non- Hodgkin lymphoma 19 days ago admitted to the emergency de-partment with macroscopic hematuria. A BK virus induced hematuria was diagnosed and conservative measures failed to get his heamaturia under control.Hyperbaric oxygen therapy and Cidofovir treatment had also failed. Then bilateral percutaneous neph-rostomies were inserted followed by selec-tive angioembolization of vesical arteries one week later. Two weeks after angioembo-lization both nephrostomies were clamped sequentially and the patient was able to pass urine comfortably without any haematuria. Management of heamorrhagic cystitis by a stepwise, rapid multi-disciplinary approach can be a critical factor in the success of stem cell transplantation.
Keywords: angioembolization, cystitis, hematuria, lymphoma, stem cell transplanta-tion.
Abstract
A 36 year- old male patient who had received an allogeneic stem cell transplanta-tion from a non- familial identical donor for the treatment of non- Hodgkin lymphoma 19 days ago admitted to the emergency de-partment with macroscopic hematuria. A BK virus induced hematuria was diagnosed and conservative measures failed to get his heamaturia under control.Hyperbaric oxygen therapy and Cidofovir treatment had also failed. Then bilateral percutaneous neph-rostomies were inserted followed by selec-tive angioembolization of vesical arteries one week later. Two weeks after angioembo-lization both nephrostomies were clamped sequentially and the patient was able to pass urine comfortably without any haematuria. Management of heamorrhagic cystitis by a stepwise, rapid multi-disciplinary approach can be a critical factor in the success of stem cell transplantation.
Keywords: angioembolization, cystitis, hematuria, lymphoma, stem cell transplanta-tion.