Journal List > J Korean Soc Radiol > v.66(5) > 1087112

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Lee, Choi, Jeon, and Han: Superselective Embolization of the Inferior Vesical Artery for the Treatment of Intractable Hematuria from Pelvic Malignancy: Case Report
Case Report
Interventional Radiology
Journal of the Korean Society of Radiology

Journal of the Korean Society of Radiology 2012; 66(5): 421-425.

Published online: 3 May 2012

DOI: https://doi.org/10.0000/jksr.2012.66.5.421

Superselective Embolization of the Inferior Vesical Artery for the Treatment of Intractable Hematuria from Pelvic Malignancy: Case Report

Hyun Jung Lee, MD1, Sun Young Choi, MD2, Eui Yong Jeon, MD1, Kum Hyun Han, MD3

1Department of Radiology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.

2Department of Radiology and Medical Research Institute, School of Medicine, Ewha Womans University, Seoul, Korea.

3Department of Internal Medicine, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Corresponding author: Sun Young Choi, MD. Department of Radiology and Medical Research Institute, School of Medicine, Ewha Womans University, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 158-710, Korea. Tel. 82-2-2650-5114, Fax. 82-2-2650-5302, medmath@hanmail.net

Received 23 June 2011       Accepted 29 September 2011

Copyright © 2012 The Korean Society of Radiology

Abstract

Intractable hematuria in from pelvic malignancy can be managed with conservative treatment in most patients. However, when treatment fails, surgical intervention may be required. Unfortunately, in most cases, the general condition of most patients is unfavorable for major surgery, with many patients having an inoperable status. We present two cases where intractable hematuria was successfully controlled by bilateral embolization of the inferior vesical artery with polyvinyl alcohol particles. Hematuria did not recur during the subsequent period and no complication was observed. Thus, bilateral embolization of the inferior vesical artery should be considered as an alternative method for the treatment of massive intractable hematuria caused by pelvic malignancy.

Keywords: Hematuria, Therapeutic Embolization, Urinary Bladder Neoplasm, Prostatic Neoplasm

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