A case of successful treatment of stomal variceal bleeding with transjugular intrahepatic portosystemic shunt and coil embolization.
Variceal bleeding from enterostomy site is an unusual complication of portal hypertension. The bleeding, however, is often recurrent and may be fatal. The hemorrhage can be managed with local measures in most patients, but when these fail, surgical interventions or portosystemic shunt may be required. Herein, we report a case in which recurrent bleeding from stomal varices, developed after a colectomy for rectal cancer, was successfully treated by placement of transjugular intrahepatic portosystemic shunt (TIPS) with coil embolization. Although several treatment options are available for this entity, we consider that TIPS with coil embolization offers minimally invasive and definitive treatment.
Han
Seo Goo
SG
Department of Internal Medicine, Kwandong University College of Medicine, Hwajeong-dong, Deokyang-gu, Goyang, Korea.
Han
Ki Jun
KJ
Cho
Hyeon Geun
HG
Gham
Chang Woo
CW
Choi
Chang Hwan
CH
Hwang
Sang Yon
SY
Song
Soon-Young
SY
D003082:Colectomy / Q000009:adverse effects; D003287:Contrast Media / Q000494:pharmacology; D004621:Embolization, Therapeutic / Q000379:methods*; D004932:Esophageal and Gastric Varices / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D012004:Rectal Neoplasms / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
D003287:Contrast Media