Bleeding ileal conduit stomal varices: diagnosis and management using transjugular transhepatic angiography and embolization.
Urology
; 50(4): 612-4, 1997 Oct.
Article
em En
| MEDLINE
| ID: mdl-9338744
ABSTRACT
An uncommon complication of ileal conduit urinary diversion is bleeding varices at the stoma site. Variceal formation is a complication of portal hypertension, which is most commonly due to intrinsic liver disease. Problematic recurrent bleeding is usually managed locally or by portosystemic shunt. We report a case of recurrent, massive ileal conduit variceal hemorrhage in a patient without a significantly elevated portosystemic gradient. Therefore, this patient was not a candidate for a shunt procedure. Using a transjugular transhepatic approach to the portal vein, the varices were embolized to stasis without any complications. The patient has subsequently experienced no further bleeding episodes.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Derivação Urinária
/
Varizes
/
Hemorragia Gastrointestinal
/
Doenças do Íleo
/
Íleo
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Urology
Ano de publicação:
1997
Tipo de documento:
Article
País de afiliação:
Estados Unidos