Bleeding ileal conduit stomal varices: Diagnosis and management using transjugular transhepatic angiography and embolization

David B. Lashley, Richard R. Saxon, Eugene Fuchs, Donald H. Chin, Bruce A. Lowe

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22 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)612-614
Number of pages3
JournalUrology
Volume50
Issue number4
DOIs
Publication statusPublished - Oct 1997

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ASJC Scopus subject areas

  • Urology

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