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Management of Bleeding-associated Severe Gastritis of the Gastric Mucosa in a Patient With a Gastrocystoplasty

Al-Azzawi, Yasir MD*; Galloway, Niall MD, FRCS; Keilin, Steven MD

Journal of Clinical Gastroenterology: April 2014 - Volume 48 - Issue 4 - p 360–361
doi: 10.1097/MCG.0000000000000074
ALIMENTARY TRACT: Case Reports

Gastrocystoplasty is a form of bladder augmentation (neobladder), where a segment of the stomach is surgically attached to the urinary bladder to increase bladder capacity and compliance. Although bleeding and malignant complications of gastrocystoplasty have been reported, the risks of these complications in the setting of gastrocystoplasty are not known. We describe the case of a 58-year-old African American woman with a history of a congenital solitary kidney, chronic kidney disease, and status postgastrocystoplasty and catheterizable umbilical stoma 21 years ago for neurogenic bladder presented with gross hematuria. To the best of our knowledge, this is the first reported case of gastrocystoplasty with a bleeding complication that has endoscopic pictures before and after treatment with proton pump inhibitor.

*Atlanta Medical Center

Departments of Urology

Gastroenterology, Emory University, Atlanta, GA

The authors declare that they have nothing to disclose.

Reprints: Yasir Al-Azzawi, MD, Atlanta Medical Center, 303 Parkway Dr NE, Atlanta, GA 30312 (e-mail: yasiralazzawi@gmail.com).

© 2014 by Lippincott Williams & Wilkins