因膽囊癌轉移而導致膀胱大量血塊併腎衰竭
蘇進明, 王建元, 蔡秀男, 翁偉哲
高雄市立聯合醫院泌尿科
Hematuria with bladder tamponade and renal failure due to gallbladder cancer metastasis
Ching-Ming Su, Chien-Yuan Wang, Hsiu-Nan Tsai Wei-Che Weng
Department of Urology1 , Kaohsiung Municiple United Hospital
Introduction:
There are many possible causes of hematuria including: urinary tract infection, urolithiasis, tumor in kidney or bladder, exercise, drug, bleeding disorder or trauma. Herein we report a case of hematuria with bladder tamponade due to gallbladder cancer metastasis.
Case report:
A 61-year-old women presented with gross hematuria, nausea, vomiting to our ER for help. According to the statement of her, DM, CRI, gallbladder stone, cancer post operation. Sonography revealed bladder tamponade and left hydronephrosis. Due to poor condition, CT scan was performed and revealed much bladder clot, left hydronephrosis, ascites and favored carcinomatosis. Emergent cystoscopy removed blood and bladder tumor was noted. TURBT was performed and pathology revealed gallbladder cancer metastasis.