Dal MF

Language: English
References: 8
Page: 830-831
PDF size: 91.17 Kb.

ABSTRACT

Bleeding varices at the stomal site is an uncommon complication of ileal conduit urinary diversion in patients with portal hypertension. We describe a case with the longest delay reported in the literature, involving the onset of massive hematuria secondary to ectopic variceal bleeding in an alcoholic cirrhotic patient with external urinary ileal conduit.

REFERENCES

1. Sanyal AJ, Bosch J, Blei A, Arroyo V. Portal hypertension and its complications. Gastroenterology 2008; 134: 1715-28.

2. Dina L, Procopet B, Pascu O, Stefãnescu H, Caraiani C, Tantau M. Severe hemorrhage from isolated ileal varices in a patient with cirrhosis. J Gastrointestin Liver Dis 2012; 21: 346.

3. Lugagne PM, Castaing D, Conort P, Guerrieri M, Bousquet O, Chatelain C. Portal hypertension: a rare cause of hematuria. Prog Urol 2000; 2: 294-8.

4. Tsang T, Demby AM. Massive hemorrhage from ruptured enteric varices of an augmented bladder. J Urol 1991;145: 1049-50.

5. Resnick RH, Ishihara A, Chalmers TC, Schimmel EM. A controlled trial of colo bypass in chronic hepatic encephalopathy. Gastroenterology 1968; 54: 1957-69.

6. Foulkes J, Wallace DM. Haemorrhage from stomal varices in an ileal conduit. Br J Urol 1975; 47: 630.

7. Conte JV, Arcomano TA, Naficy MA, Hold RW. Treatment of bleeding stomal varices. Report of a case and review of the literature. Dis Colon Rectum 1990; 33: 308-14.

8. Vangeli M, Patch D, Terreni N, Tibballs J, Watkinson A, Davies N, Burroughs AK. Bleeding ectopic varices – treatment with transjugular intrahepatic porto-systemic shunt (TIPS) and embolization. J Hepatol 2004; 41: 560-6.