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Bleeding ileal conduit stomal varices: diagnosis and management using transjugular transhepatic angiography and embolization.
Lashley, D B; Saxon, R R; Fuchs, E F; Chin, D H; Lowe, B A.
Afiliação
  • Lashley DB; Division of Urology and Dotter Interventional Institute, Oregon Health Sciences University, Portland 97201, USA.
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.
Assuntos
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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
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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