2026-06-09T20:28:11Z https://www.peertechzpublications.org/oai-pmh

oai:www.peertechzpublications.org:10.17352/2455-5495.000009 2016-05-18 PTZ.ARDM:VOL2

Intractable Hematuria Due to Advanced Cardiac Failure and Venous Stasis Bora ÖzverenSelçuk Yücel<p>Intractable&nbsp;&nbsp; gross&nbsp;&nbsp; hematuria&nbsp;&nbsp; without&nbsp;&nbsp; an&nbsp;&nbsp; obvious&nbsp;&nbsp; or&nbsp;&nbsp; common urologic&nbsp;&nbsp; pathology&nbsp;&nbsp; needs&nbsp;&nbsp; more&nbsp;&nbsp; effort&nbsp;&nbsp; for&nbsp;&nbsp; correct&nbsp;&nbsp; diagnosis&nbsp;&nbsp; and appropriate&nbsp; management.&nbsp; In&nbsp; this&nbsp; case,&nbsp; we&nbsp; report&nbsp; on&nbsp; a&nbsp; patient&nbsp; with intractable&nbsp; hematuria&nbsp; originating&nbsp; from&nbsp; varicose&nbsp; vessels&nbsp; of&nbsp; urinary bladder due to advanced venous stasis after severe cardiac failure.</p><p><strong>Case Report</strong></p><p>A 66-year-old male was consulted for massive hematuria and clot retention&nbsp; subsequent&nbsp; to&nbsp; urethral&nbsp; catheterization&nbsp; after&nbsp; admission&nbsp; into intensive&nbsp; care&nbsp; unit&nbsp; because&nbsp; of&nbsp; cardiac&nbsp; decompensation.&nbsp; His&nbsp; medical history revealed cardiomyopathy and aortic metallic valve replacement 20&nbsp; years&nbsp; ago&nbsp; and&nbsp; gout&nbsp; disease&nbsp; for&nbsp; 25&nbsp; years.&nbsp; He&nbsp; had&nbsp; been&nbsp; on&nbsp; oral anticoagulation&nbsp; with&nbsp; warfarin&nbsp; for&nbsp; 20&nbsp; years.&nbsp; On&nbsp; physical&nbsp; examination severe&nbsp; ascites&nbsp; and&nbsp; pulmonary&nbsp; effusion,&nbsp; and&nbsp; extensive&nbsp; venous&nbsp; stasis in&nbsp; lower&nbsp; trunk&nbsp; was&nbsp; found.&nbsp; Central&nbsp; venous&nbsp; pressure&nbsp; was&nbsp; 30&nbsp; cmH2O. His&nbsp; blood&nbsp; biochemistry&nbsp; work-up&nbsp; revealed&nbsp; moderate&nbsp; hyponatremia (132&nbsp; meq/L)&nbsp; and&nbsp; a&nbsp; serum&nbsp; creatinin&nbsp; of&nbsp; 2.6&nbsp; mg/dl&nbsp; (normal&nbsp; 0.5&nbsp; to&nbsp; 1.4). Anticoagulation was terminated at first. Prothrombin time / INR level returned&nbsp; within&nbsp; normal&nbsp; limits&nbsp; following&nbsp; cessation&nbsp; of&nbsp; warfarin&nbsp; and&nbsp; he had only mild anemia. </p> Archives of Renal Diseases and Management - Peertechz Publications 2016-05-18 Case Report https://doi.org/10.17352/2455-5495.000009 en Copyright © Bora Özveren et al.