Refractory hematuria post actinic cystitis. Role of potassium alumen as treatment - Case Report
<p>Actinic cystitis hematuria is a frequent complication after pelvic radiotherapy, present in approximately 5% of patients exposed to this therapy. The management of these cases seems to be a challenge for today's urologists. In this article, we present the case of a 73- year-old man dia...
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Global Journal of Medical and Clinical Case Reports - Peertechz Publications,
2022-05-27.
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LEADER | 00000 am a22000003u 4500 | ||
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001 | peertech__10_17352_2455-5282_000153 | ||
042 | |a dc | ||
100 | 1 | 0 | |a João Ernesto Aldred Pinto Filho |e author |
700 | 1 | 0 | |a Pedro Henrique Ejje Kailly |e author |
700 | 1 | 0 | |a Ruston da Matta Louback Filho |e author |
700 | 1 | 0 | |a Juan Miguel Renteria |e author |
700 | 1 | 0 | |a Antonio Claudio |e author |
700 | 1 | 0 | |a Ahouagi Cunha |e author |
245 | 0 | 0 | |a Refractory hematuria post actinic cystitis. Role of potassium alumen as treatment - Case Report |
260 | |b Global Journal of Medical and Clinical Case Reports - Peertechz Publications, |c 2022-05-27. | ||
520 | |a <p>Actinic cystitis hematuria is a frequent complication after pelvic radiotherapy, present in approximately 5% of patients exposed to this therapy. The management of these cases seems to be a challenge for today's urologists. In this article, we present the case of a 73- year-old man diagnosed with actinic cystitis after pelvic radiotherapy and admitted to our service with a clinical picture of refractory macroscopic hematuria. During admission, the patient underwent multiple procedures and blood transfusions, without success in controlling hematuria. After a review of the literature, we chose to use Potassium Alum in the patient's treatment. Under general anesthesia, we performed a cystoscopy with the evacuation of clots and subsequently infused a 1% solution of potassium alum into the bladder at a rate of 200 ml/h for 25 hours. Less than 24 hours after Alum infusion, there were no more clinical signs of hematuria, which remained until hospital discharge. After 6 months of treatment, the patient did not present another episode of hematuria.</p> | ||
540 | |a Copyright © João Ernesto Aldred Pinto Filho et al. | ||
546 | |a en | ||
655 | 7 | |a Case Report |2 local | |
856 | 4 | 1 | |u https://doi.org/10.17352/2455-5282.000153 |z Connect to this object online. |