Recurrent Bleeding From Ileal Conduit Stomal Varices in a Patient With Portal Hypertension

Abstract

Bleeding from ileal conduit stomal varices is uncommon and rarely reported. 1 It can particularly develop in portal hypertension patients, and fatal massive bleeding from stomal varices can occur, 2 making early detection crucial. This bleeding mainly occurs in enterostomal varices at the mucocutaneous borderline level. 3 Management is challenging and varies from local treatment to shunting, embolization, and surgery. We present the case of a 65-year-old man with recurrent fatal bleeding from his ileal conduit stomal varices successfully treated with ligation of the engorged venous varices using hemostatic agents.