Recurrent stomal variceal bleeding. Successful treatment using injection sclerotherapy.
Stomal varices may develop in patients with gastrointestinal stomas and portal hypertension. Bleeding often is recurrent and may be fetal. A 48-year-old woman had six major stomal variceal bleeds requiring 20 U of blood in the four months before beginning stomal sclerotherapy. "Paravariceal" injections using various combinations of sodium tetradecyl sulfate, ethanol, and saline resulted in a decrease in blood transfusions to 3 U during a 20-month follow-up. Injection sclerotherapy deserves consideration in patients with recurrent stomal variceal bleeding.
D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications; D007081:Ileostomy; D007082:Ileum / Q000098:blood supply*; D008875:Middle Aged; D012008:Recurrence; D012597:Sclerosing Solutions / Q000627:therapeutic use*; D014648:Varicose Veins / Q000209:etiology / Q000628:therapy*
D012597:Sclerosing Solutions