title: [Case report : bleeding from ileal conduit in a patient with portal hypertension due to liver cirrhosis type C].
abstract: A 68-year-old man treated for type C liver cirrhosis was referred to our hospital for evaluation of a bladder tumor. The patient underwent transurethral resection of bladder tumor. The histopathological diagnosis was urothelial cancer (G2>G3, T2) and he underwent radical cystectomy with ileal conduit urinary diversion. Starting 3 months postoperatively, he experienced bleeding from the mucosa of the ileal conduit. Computed tomography showed vascular dilatation around the ileal conduit. This was considered to be attributable to portal hypertension resulting from liver cirrhosis. Conservative therapy failed to achieve hemostasis. The patient was not considered to have indications for a transjugular intrahepatic portosystemic shunt (TIPS). He died from bleeding 22 months after radical cystectomy.
authors: The Department of Urology, Ina Central Hospital.
authors: Koji
authors: K
authors: Koizumi
authors: The Department of Urology, Ina Central Hospital.
authors: Takayuki
authors: T
authors: Kamigaito
authors: The Department of Gastroenterology, Ina Central Hospital.
authors: Atsushi
authors: A
authors: Maruyama
authors: The Department of Urology, Saku Central Hospital.
authors: Tsuyoshi
authors: T
authors: Nakayama
mesh_terms: D000368:Aged; D015653:Cystectomy; D017809:Fatal Outcome; D006470:Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology*; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D001749:Urinary Bladder Neoplasms / Q000150:complications / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects* / Q000379:methods