Caput medusae: peristomal varices.
Peristomal varices are a manifestation of severe liver disease and portal hypertension. Unfortunately, they may bleed profusely, usually as a result of pressure from a hard faceplate on the appliance or denudation from leakage of stomal output. This article provides a case study, followed by a review of the causes, the medical management, and surgical management of this condition. Some implications for ET nurses are also given.
Thompson
J
J
D000009:Abdominal Muscles / Q000098:blood supply*; D003125:Colostomy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D015911:Sclerotherapy; D014648:Varicose Veins / Q000175:diagnosis / Q000209:etiology* / Q000451:nursing / Q000628:therapy