title: A case of successful treatment of stomal variceal bleeding with transjugular intrahepatic portosystemic shunt and coil embolization.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Kwandong University College of Medicine, Hwajeong-dong, Deokyang-gu, Goyang, Korea.
authors.forename: Seo Goo
authors.initials: SG
authors.lastname: Han
authors.forename: Ki Jun
authors.initials: KJ
authors.lastname: Han
authors.forename: Hyeon Geun
authors.initials: HG
authors.lastname: Cho
authors.forename: Chang Woo
authors.initials: CW
authors.lastname: Gham
authors.forename: Chang Hwan
authors.initials: CH
authors.lastname: Choi
authors.forename: Sang Yon
authors.initials: SY
authors.lastname: Hwang
authors.forename: Soon-Young
authors.initials: SY
authors.lastname: Song
mesh_terms: 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
chemical_list: D003287:Contrast Media