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 language | English (US) |
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Pages (from-to) | 612-614 |
Number of pages | 3 |
Journal | Urology |
Volume | 50 |
Issue number | 4 |
DOIs | |
State | Published - Oct 1997 |
Externally published | Yes |
ASJC Scopus subject areas
- Urology