Gross hematuria secondary to vesicular varices: an unusual long-term sequela of inferior vena cava ligation and resection case report

Extragonadal germ cell tumor may present with gross hematuria, resultant from the primary tumor, direct invasion, or metastatic involvement. This report describes gross hematuria occurring as a long-term sequela of EGGCT management. The patient in question had a documented history of an EGGCT, underwent chemotherapy with RPLND and resection of the IVC. Six years post-surgery, the patient exhibited gross hematuria. CT imaging demonstrated dilation of the vesical venous plexus with cystoscopic examination confirming prominent submucosal veins near the bladder neck. Gross hematuria is attributed to the spontaneous rupture of these veins, with spontaneous resolution.