[Portal hypertension and enterostomy: a dangerous combination. Colostomy-induced varices as a rare cause of gastrointestinal hemorrhage. Report of a case and review of the literature].
Variceal bleeding from enterostomy in an unusual complication of portal hypertension. The hemorrhage can be managed in most patients with local measures, but if these manouvres fail, surgical procedures may be required. Treatment options include pressure dressings, stomal revision or disconnection, suture or ligation of stomal varices, bowel resection, and porto-systemic shunting. Recently sclerotherapy and percutaneous transhepatic embolization have been reported. A case of ectopic varices in the site of colostomy complicated by recurrent hemorrhage is described and the therapeutic option utilized is discussed with review of Literature to assess the efficacy of the various treatment options.
Arcidiaco
M
M
Istituto di Chirurgia Generale e dei Trapianti d'Organo, Università degli Studi di Pavia.
Dicorato
G
G
Pasqualin
G
G
Gherardi
S
S
Silva
P
P
Tinozzi
S
S
D000368:Aged; D003106:Colon / Q000098:blood supply*; D003125:Colostomy / Q000009:adverse effects*; D003424:Crohn Disease / Q000601:surgery*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D011183:Postoperative Complications; D014648:Varicose Veins / Q000150:complications / Q000175:diagnosis*
Ipertensione portale ed enterostomia: un binomio a rischio. Le varici colostomiche come causa rara di enterorragia. Descrizione di un caso e revisione della letteratura.