Selective bilateral internal iliac artery embolization for controlling refractory hematuria due to the metastatic squamous cell carcinoma of the urinary bladder: a case report

  • Gholamreza Mokhtari Urology Research Center, Guilan University of Medical Sciences, Rasht, Iran, Islamic Republic of.
  • Hossein Hemmati Urology Research Center, Guilan University of Medical Sciences, Rasht, Iran, Islamic Republic of.
  • Hamidreza Baghani Aval | hamidreza_baghani@yahoo.com Sabzevar University of Medical Sciences, Sabzevar, Iran, Islamic Republic of.
  • Samaneh Esmaeili Urology Research Center, Guilan University of Medical Sciences, Rasht, Iran, Islamic Republic of.

Abstract

Bladder squamous cell carcinoma (SCC) may lead to gross hematuria. However, the metastasis of head and neck cutaneous SCC to the urinary bladder has not been described in literature. Nowadays, noninvasive methods such as embolization, are considered as an appropriate choice for controlling life-threatening hematuria in patients with high operative risk. However, few reports exist on the effectiveness of this approach in managing the hematuria secondary to metastatic bladder SCC. Here we report a case of bladder SCC originating from the forehead cutaneous SCC. An 83-year-old man, a known case of forehead cutaneous SCC with distant metastasis, referred to our clinic with a chief complaint of hematuria. Pathology confirmed the diagnosis of metastatic urinary bladder SCC. Angiography and embolization were undertaken and resulted in complete alleviation of the symptoms. The recurrence of hematuria or embolization-related complications were not observed during 3-month follow-up. Selective embolization of the bilateral internal iliac artery is a safe and efficient procedure for controlling severe hematuria in patients with primary or metastatic bladder SCC.

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Published
2016-09-19
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Section
Case Reports
Keywords:
Squamous cell carcinoma, bladder tumor, hematuria, embolization.
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How to Cite
Mokhtari, G., Hemmati, H., Baghani Aval, H., & Esmaeili, S. (2016). Selective bilateral internal iliac artery embolization for controlling refractory hematuria due to the metastatic squamous cell carcinoma of the urinary bladder: a case report. Italian Journal of Medicine, 11(2), 211-214. https://doi.org/10.4081/itjm.2016.761

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