title: [Secondary recurrent haemorrhage with peristomal varices complicating a urinary derivation according to Bricker and treated efficiently by endoscopic way].
abstract: Stomal varices developed in patients with cirrhosis and enterostomy can be source of important haemorrhages. It is a rare event but often recurrent and difficult enough to treat efficiently. In certain cases, consequences can be severe. We report the case of a 63-years-old patient with medical history of hepatic cirrhosis who underwent a radical cystoprostatectomy with urinary derivation type Bricker. Five years afterwards, he developed stomal varices very haemorrhagic treated efficiently by endoscopic way, without any recurrence 12 months later. This observation shows that stomal haemorrhages can be treated by endoscopic way.
authors.affiliation: Service d'urologie, centre hospitalier de Valence, 179, boulevard Maréchal-Juin, 26000 Valence, France. mitach2@yahoo.fr
authors.forename: A
authors.initials: A
authors.lastname: Mitach
authors.forename: M
authors.initials: M
authors.lastname: Goris Gbenou
authors.forename: S
authors.initials: S
authors.lastname: Rashed
authors.forename: J-P
authors.initials: JP
authors.lastname: Allegre
authors.forename: Z
authors.initials: Z
authors.lastname: Ladhib
authors.forename: J-G
authors.initials: JG
authors.lastname: Lopez
mesh_terms: D004724:Endoscopy; D004766:Enterostomy / Q000009:adverse effects*; D006470:Hemorrhage / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D014547:Urinary Diversion / Q000009:adverse effects* / Q000379:methods*; D014648:Varicose Veins / Q000209:etiology* / Q000601:surgery*