1주간 지속된 육안적 혈뇨로 발현한 운동 유발 혈뇨

• Published in: The Korean journal of medicine Vol. 82; no. 1; pp. 95 - 99
• Main Authors: 나선영, Sun Young Na, 성지윤, Ji Yoon Sung, 정지용, Ji Yong Jung, 장제현, Jae Hyun Chang, 김세중, Se Joong Kim, 정우경, Woo Kyung Chung, 이현희, Hyun Hee Lee
• Format: Journal Article
• Language: Korean
• Published: 대한내과학회 01.01.2012
• Subjects: Exercise-induced hematuria; Gross hematuria; 운동 유발 혈뇨; 육안성 혈뇨
• ISSN: 1738-9364

외래에서 혈뇨 환자를 접하게 되면, 환자의 활동성 및 운동 여부를 반드시 확인하고, 혈뇨가 운동으로 유발되고, 운동 중단 후 호전되는지 확인하여야 한다. 그리고 종양, 감염, 약물, 요석, 신염과 운동 유발 혈뇨를 감별하여, 검사의 진행 여부를 결정해야 한다. 하지만 운동 유발 혈뇨가 다른 신장-비뇨기계의 증상 중 하나일 수 있기 때문에 반복적인 혈뇨, 연령 등에 따라 검사가 필요함을 염두해 두어야 한다. Exercise-induced hematuria is a phenomenon occurring in subjects who participate in strenuous exercise. Rapid resolution is an important feature of exercise-induced hematuria. We report here a case of exercise-induced hematuria presenting as gross hematuria Lasting I week in a 19-year-old male patient. Gross hematuria developed after strenuous exercise about 3 years ago. Three months ago, recurrent gross hematuria was Lasting I week, regardless of exercise intensity. Compression of the Left renal vein between the aorta and superior mesenteric artery, without prominent venous collaterals, was detected by computed tomography. However, no abnormalities were detected by renal venography, arteriography or kidney biopsy. Exercise-induced hematuria occurs with a high incidence, but is self-Limiting. In contrast, recurrent and gross hematuria can be associated with bladder carcinoma or vascular abnormality. This should be kept in mind, and urological evaluations such as cystoscopy and angiography are necessary in gross and recurrent hematuria. (Korean J Med 2012;82:95-99)