[Variceal hemorrhage on the colostomy area in a patient with portal hypertension].
A 68 years old patient who had a colostomy done for an abdomino-perineal resection, started episodes of bleeding seven years later from varices at the colostomy site secondary to portal hypertension. Direct suture of the varices and distal colonic resection were ineffective to stop the bleeding. Sclerotherapy with polidocanol, however permitted the patient to remain asymptomatic during 14 months.
Lera Tricas
J M
JM
Servicio de Cirugía General, Hospital J. García Orcoyen, Estella, Navarra.
Zornoza Celaya
G
G
Hernández Lizoaín
J L
JL
D000368:Aged; D003106:Colon / Q000098:blood supply*; D003125:Colostomy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology*; D014648:Varicose Veins / Q000150:complications*
Hemorragia por varices a nivel de colostomía en un paciente con hipertensión portal.