Bleeding from peristomal varices: a complication of portal hypertension.
Peristomal varices are a recognised complication of stomas in the presence of portal hypertension. There has been a progression of treatment options described in the literature, including the transjugular intrahepatic portosystemic shunt (TIPS). The use of TIPS, a percutaneous procedure allowing connection between the portal and systemic circulations within the liver, is a well-recognised method of treating the complications of portal hypertension. This report presents a case of peristomal varices successfully treated with TIPS and subsequently reviews the literature relating to its management.
Department of General Medicine, Barnet Hospital, London, UK. Faraan@doctors.org.uk
Faraan
F
Khan
Sheida
S
Vessal
Richard
R
Gordon-Williams
D000368:Aged; D003937:Diagnosis, Differential; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D007081:Ileostomy; D008297:Male; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D014057:Tomography, X-Ray Computed; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*