1/7. urinary bladder carcinoma as apparent cause of antepartum haemorrhage in pregnancy.A 34-year-old multipara presented with painless profuse genital bleeding during the third trimester of pregnancy in a state of hemorrhagic shock. Haematuria because of urinary bladder carcinoma was found to be the cause of bleeding. cystoscopy was useful for accurate diagnosis as well as for achieving haemostasis. This case emphasizes the possibility and importance of haematuria when dealing with a patient with antepartum haemorrhage.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
2/7. Superselective embolization of bladder arteries in the treatment of intractable bladder haemorrhage.Bladder hemorrhage following radiation therapy is a serious complication in patients undergoing this treatment. Several methods have been proposed to control this particular situation; however, results have been far from satisfactory, with the exception of drastic measures such as hypogastric artery ligation and radical cystectomy. We recently used a method of superselective embolization of the bladder arteries which enabled us to control severe intractable bleeding in a patient submitted to bladder irradiation for a transitional cell infiltrating carcinoma. Compared to selective embolization and other methods, the advantages of superselective embolization are a lower recurrence rate concerning bleeding, fewer side-effects and the possibility of using adaptable embospheres (150-1000 micron) which, on account of their marked plasticity, offer better occlusion of the vessels. For these reasons, superselective embolization of the bladder arteries should be considered as the treatment of choice in intractable bladder hemorrhage.- - - - - - - - - - ranking = 0.8keywords = haemorrhage (Clic here for more details about this article) |
3/7. Traumatic haematuria in supernumerary hydronephrotic kidney. A case report.A 27-year-old man had macroscopic haematuria following a blow to the right side of the abdomen. Intravenous pyelography showed narrowing and lateralisation of the right renal pelvis and suggested rupture and fragmentation of the right kidney. Surgical exploration, however, revealed massive hydronephrosis in a supernumerary kidney. The haemorrhage had been caused by rupture of the pelvis. Diagnostic considerations are discussed and the surgical procedure is described. Correct pre-operative evaluation was exceedingly difficult in this case. Only two similar cases were found in the literature.- - - - - - - - - - ranking = 0.2keywords = haemorrhage (Clic here for more details about this article) |
4/7. Control of severe vesical haemorrhage by therapeutic embolisation.Therapeutic embolisation is now recognised as having a role in the management of bladder haemorrhage and is particularly valuable in severe cases where the patient's life is at risk. This paper describes the procedures which were used to manage two patients with massive haematuria, from a tumour in one case and from an arterial malformation in the other. Previous reports indicate that haemorrhage from a bladder tumour can usually be controlled by embolisation which is limited to the tumour itself but haemorrhage due to post-radiation telangiectasis requires more extensive arterial occlusion and this was taken into account in planning the embolisation procedure in the first case. Neither patient developed gluteal pain after embolisation which was probably due to the fact that the superior gluteal arteries were not completely occluded. The left axillary approach was used as a catheter passing down the aorta can usually be manipulated into the internal iliac arteries and their smaller branches on both sides without difficulty.- - - - - - - - - - ranking = 1.4keywords = haemorrhage (Clic here for more details about this article) |
5/7. Adverse interaction between warfarin and indomethacin.A 57-year-old man developed spontaneous skin bruising and haematuria during combined therapy with warfarin and indomethacin. Due to the potential effects of nonsteroidal anti-inflammatory drugs (NSAIDs) on the anticoagulant action of warfarin and platelet function, patients receiving both warfarin and NSAIDs should have their prothrombin time monitored very closely. Also, the risk of gastrointestinal haemorrhage with any NSAIDs must always be remembered.- - - - - - - - - - ranking = 0.2keywords = haemorrhage (Clic here for more details about this article) |
6/7. Massive haematuria from a renal haemangioma with concomitant ureteropelvic junction obstruction.A two centimeter left capillary renal haemangioma caused massive haematuria in a 27-year-old male with left hydronephrosis and nephrolithiasis. nephrectomy for life threatening haemorrhage was performed. Diagnostic algorithms for the evaluation of adult onset gross haematuria and "essential" haematuria with a review of the current literature are presented.- - - - - - - - - - ranking = 0.2keywords = haemorrhage (Clic here for more details about this article) |
7/7. Arterial haemorrhage following instillation of silver nitrate in chyluria: treatment by coil embolization.Chyluria is a urological manifestation of lymphatic system disease. sclerotherapy of the renal pelvis (RPIS) using 1% silver nitrate, along with diethyl carbamazine, is the treatment most frequently used. Massive haematuria due to intrarenal aneurysm following RPIS has not been reported. A case is described here of arterial haemorrhage following instillation of silver nitrate which was treated by coil embolization. The haematuria was immediately stopped and the renal function returned to normal gradually.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |