Balloon-Occluded Percutaneous Transhepatic Obliteration of Isolated Vesical Varices Causing Gross Hematuria

Gross hematuria is not an uncommon presentation to the emergency department (ED). Nevertheless, hematuria secondary to vesical varices is an unusual presentation. No definitive treatment has been established for bleeding vesical varices. In symptomatic vesical varices, surgical devascularization, laser sclerosis, and coagulation are often only temporarily effective. As another treatment option, percutaneous transheapatic obliteration (1) and endoscopic injection of Histoacryl could be performed. We report a male patient who had a history of bladder substitution with ileal segments and had been treated by balloon-occluded percutaneous transhepatic obliteration of vesical varices that presented with recurrent gross hematuria. Balloon-Occluded Percutaneous Transhepatic Obliteration of Isolated Vesical Varices Causing Gross Hematuria Dong Hoon Lim, MD, Dong Hyun Kim, MD, Min Seok Kim, MD, Chul Sung Kim, MD Departments of Diagnostic Radiology and Urology, College of Medicine, Chosun University, Gwangju 501-717, Korea