Massive bleeding from an ileal conduit caput medusae.
A caput medusae developing around an ileal conduit stoma heralded the onset of portal hypertension and recurrent episodes of massive stomal bleeding in a patient with liver cirrhosis. A review of the literature suggests that conservative local measures remain the treatment of choice in the high risk cirrhotic patient.
D000368:Aged; D004108:Dilatation, Pathologic; D004932:Esophageal and Gastric Varices / Q000000981:diagnostic imaging; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D007082:Ileum / Q000601:surgery; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D008297:Male; D008642:Mesenteric Veins / Q000473:pathology; D011859:Radiography; D014547:Urinary Diversion / Q000009:adverse effects*; D014680:Veins / Q000473:pathology