[Recurrent stomal hemorrhage treated by transjugular intrahepatic portosystemic anastomosis and embolization of stomal varices].
Bleeding stomal varices is a rare complication of portal hypertension. We report the case of a cirrhotic patient, with a history of colonic adenocarcinoma, who had recurrent bleeding stomal varices. Treatment with transjugular intrahepatic portosystemic shunt and stomal varice embolization was performed because failure of medical treatment of portal hypertension and sclerotherapy. Twenty six months later only one stomal hemorrhage was noted. This suggests that transjugular intrahepatic portosystemic shunt and stomal varice embolization is effective in case of recurrent bleeding of stomal varices.
Vuillemin
E
E
Service d'Hépato-Gastroentérologie, CHU, Angers.
Aubé
C
C
Rifflet
H
H
L'Hoste
P
P
Oberti
F
F
Caron
C
C
Calès
P
P
D000368:Aged; D000792:Angiography; D003125:Colostomy; D004621:Embolization, Therapeutic; D005069:Evaluation Studies as Topic; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000628:therapy; D008297:Male; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D012008:Recurrence; D014648:Varicose Veins / Q000150:complications* / Q000000981:diagnostic imaging
Hémorragies stomiales récidivantes traitées par anastomose portosystémique intrahépatique transjugulaire et embolisation des varices stomiales.