Bleeding from peristomal varices in a cirrhotic patient with ileal conduit: treatment with transjugular intrahepatic portocaval shunt (TIPS).
We report an unusual case of a 71-year-old man with liver cirrhosis who presented recurred bleedings from the stoma of the ileal conduit after radical cystoprostatectomy. The haemorrhages could not be treated by local measures, and a transjugular intrahepatic portocaval shunt was performed, displacing an endoprosthesis and a self-expandable stent. We highlight the role of TIPS to treat recurrent bleedings from the stoma in cirrhotic patients with ileal conduit and portal hypertension.
Carrafiello
Gianpaolo
G
Department of Radiology, University of Insubria, Viale Borri, 57, 21100 Varese, Italy. gcarraf@tin.it
Laganà
Domenico
D
Giorgianni
Andrea
A
Lumia
Domenico
D
Mangini
Monica
M
Paragone
Edi
E
Fugazzola
Carlo
C
D000368:Aged; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007082:Ileum / Q000098:blood supply / Q000601:surgery; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D011859:Radiography; D014463:Ultrasonography; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*