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Intravascular hemolysis secondary to aorto-atrial fistula presenting as red urine.
- Source :
-
Journal of general internal medicine [J Gen Intern Med] 2010 Dec; Vol. 25 (12), pp. 1370-4. Date of Electronic Publication: 2010 Jul 03. - Publication Year :
- 2010
-
Abstract
- Intravascular hemolysis is a rare but potentially life threatening cause of red urine characterized by brisk hemolysis and release of large amounts of hemoglobin into the urine. We present an unusual case of red urine in a 20-year-old male who was subsequently diagnosed with intravascular hemolysis due to an aorto-atrial fistula. Fistula formation was likely secondary to a recently implanted atrial septal occluder, which is a reported but exceedingly rare complication of the device. We discuss the diagnostic approach to hemolytic anemia and conclude with a literature review of other cases of device associated fistula formation and hemolysis.
- Subjects :
- Diagnosis, Differential
Fistula complications
Fistula surgery
Heart Septal Defects, Atrial complications
Heart Septal Defects, Atrial surgery
Hemoglobinuria etiology
Hemoglobinuria surgery
Humans
Male
Postoperative Complications diagnosis
Postoperative Complications etiology
Urinalysis
Young Adult
Fistula diagnosis
Heart Septal Defects, Atrial diagnosis
Hemoglobinuria diagnosis
Hemolysis physiology
Pigments, Biological analysis
Subjects
Details
- Language :
- English
- ISSN :
- 1525-1497
- Volume :
- 25
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Journal of general internal medicine
- Publication Type :
- Academic Journal
- Accession number :
- 20602190
- Full Text :
- https://doi.org/10.1007/s11606-010-1430-x