Trans-hepatic trans-portal selective angioembolization; a management option for severe acute variceal bleeding of ileal conduit stoma

Haffar, Ahmad; Elbakry, Amr A.; Trump, Tyler; Werner, Zachary; McCluskey, Kevin; Salkini, Mohamed W.

doi:10.1016/j.eucr.2022.102222

Cited by 1 publication

(3 citation statements)

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“…Ureterostomy could be a better choice for urinary diversion at the time of colon surgery in a patient with liver cirrhosis. 11 In this case, portal hypertension induced ectopic mesenteric varices in the ileal conduit, and the intractable bleeding from the varices worsened with thrombocytopenia and anticoagulant therapy. This case indicates that embolization with BRTO may be a suitable hemostasis method for repeated hemorrhage of mesenteric varices from an ileal conduit.…”

Section: Discussionmentioning

confidence: 79%

“…Ureterostomy does not entail use of an intestinal segment, and there have been no reports of bleeding from ectopic varices in the ureter after ureterostomy for portal hypertension. Ureterostomy could be a better choice for urinary diversion at the time of colon surgery in a patient with liver cirrhosis 11 …”

Section: Discussionmentioning

confidence: 99%

“…Ureterostomy could be a better choice for urinary diversion at the time of colon surgery in a patient with liver cirrhosis. 11 …”

Section: Discussionmentioning

confidence: 99%

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Successful embolization of subcutaneous mesenteric varices within an ileal conduit in a patient with liver cirrhosis

Sakurai,

Ohtsu,

Arai

et al. 2023

IJU Case Reports

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IntroductionVenous hemorrhage from ectopic varices is potentially fatal. This report describes a rare case in which bleeding from mesenteric varices in an ileal conduit was treated successfully by embolization therapy.Case presentationThe patient was an 82‐year‐old man who had previously undergone total pelvic exenteration for colon cancer with creation of an ileal conduit for urinary diversion. He subsequently developed liver cirrhosis and underwent partial hepatectomy for hepatocellular carcinoma. 9 years after his colon surgery, he was admitted with gross hematuria. Computed tomography revealed subcutaneous mesenteric varices in the ileal conduit and hemorrhage as a result of rupture of the varices. The bleeding continued despite repeated manual compression but was eventually stopped by embolization therapy.ConclusionEmbolization therapy may be helpful for hemostasis in the event of intractable bleeding from mesenteric varices in an ileal conduit.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%