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01-03-2007 | Case Report

Bleeding from peristomal varices in a cirrhotic patient with ileal conduit: treatment with transjugular intrahepatic portocaval shunt (TIPS)

Authors: Gianpaolo Carrafiello, Domenico Laganà, Andrea Giorgianni, Domenico Lumia, Monica Mangini, Edi Paragone, Carlo Fugazzola

Published in: Emergency Radiology | Issue 6/2007

Abstract

We report an unusual case of a 71-year-old man with liver cirrhosis who presented recurred bleedings from the stoma of the ileal conduit after radical cystoprostatectomy. The haemorrhages could not be treated by local measures, and a transjugular intrahepatic portocaval shunt was performed, displacing an endoprosthesis and a self-expandable stent. We highlight the role of TIPS to treat recurrent bleedings from the stoma in cirrhotic patients with ileal conduit and portal hypertension.

Conte JV, Arcomano TA, Naficy MA, Holt RW (1990) Treatment of bleeding stomal varices. Report of a case and review of the literature. Dis Colon Rectum 33:308–314PubMedCrossRef

Labori KJ, Carlsen E (2002) Treatment of bleeding peristomal varices. Eur J Surg 168:654–656PubMedCrossRef

Resnick RH, Ishihara A, Chalmers TC, Schimmel EM (1968) A controlled trial of colon bypass in chronic hepatic encephalopathy. Gastroenterology 54:1057–1069PubMed

Medina CA, Caridi JG, Wajsman Z (1998) Massive bleeding from ileal conduit peristomal varices: successful treatment with the TIPS. J Urol 159:200–201PubMedCrossRef

Dharancy S, Sergent G, Bulois P, Bonnail JL, Golub G et al (2000) Varices stomiales hemorragiques traitees par embolisation et shunt sushepatico-porte. Gastroenterol Clin Biol 24:232–234PubMed

Lashley DB, Saxon RR, Fuchs E, Chin DH, Lowe BA (1998) Bleeding ileal conduit stomal varices: diagnosis and management using transjugular transhepatic angiography and embolization. Urol 159:612–614

Zimmerman G, Smith DC, Taylor FC, Hadley HR (1994) Recurrent urinary conduit bleeding in a patient with portal hypertension. Management with a TIPS. Urology 43:748–751PubMedCrossRef

Rosch J, Keller FS (2001) Transjugular intrahepatic portosystemic shunt: present status, comparison with endoscopic therapy and shunt surgery, and future prospectives. World J Surg 25:337–346PubMedCrossRef

Shibata D, Brophy DP, Gordon FD, Anastopoulos HT, Sentovich SM et al (1999) Transjugular intrahepatic portosystemic shunt for treatment of bleeding ectopic varices with portal hypertension. Dis Colon Rectum 42:1581–1585PubMedCrossRef

10.

Soret R, Goullet E, Bonnal JL, Dharancy S, Paris JC et al (2001) Hemarragies recurrentes par des varices peri-stomiales apres derivation selon. Bricker Progres en Urologie 11:310–313

Title: Bleeding from peristomal varices in a cirrhotic patient with ileal conduit: treatment with transjugular intrahepatic portocaval shunt (TIPS)
Authors: Gianpaolo Carrafiello
Domenico Laganà
Andrea Giorgianni
Domenico Lumia
Monica Mangini
Edi Paragone
Carlo Fugazzola
Publication date: 01-03-2007
Publisher: Springer-Verlag
Published in: Emergency Radiology / Issue 6/2007
Print ISSN: 1070-3004
Electronic ISSN: 1438-1435
DOI: https://doi.org/10.1007/s10140-006-0564-y

At a glance: The STEP trials

Springer Medicine

Bleeding from peristomal varices in a cirrhotic patient with ileal conduit: treatment with transjugular intrahepatic portocaval shunt (TIPS)

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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