title: [Peri-colostomy hemorrhage due to portal hypertension secondary to hepatic metastasis of a rectal adenocarcinoma. Apropos of a case report. Literature review].
abstract: The authors present a case report of recurrent peristomal variceal bleeding resulting from portal hypertension induced by hepatic metastases of a rectal cancer. They propose mucocutaneous disconnection as a simple and effective palliative surgery in order to prevent new bleeding. Discussion is based on a review of the literature and illustrates the different therapeutic options for this complication.
authors.affiliation: Département de Chirurgie Digestive, C.H.U.-Vésale, Montigny-le-Tilleul.
authors.forename: J
authors.initials: J
authors.lastname: Elcheroth
authors.forename: J S
authors.initials: JS
authors.lastname: Azagra
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery; D000368:Aged; D003125:Colostomy; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications* / Q000209:etiology; D008113:Liver Neoplasms / Q000150:complications / Q000556:secondary*; D008297:Male; D012004:Rectal Neoplasms / Q000473:pathology* / Q000601:surgery; D014648:Varicose Veins / Q000150:complications* / Q000209:etiology
vernacular_title: Hémorragie par hypertension portale secondaire à des métastases hépatiques d'un adénocarcinome du rectum au niveau d'une colostomie. A propos d'une observation. Revue de la littérature.