Bleeding stomal varices in portal hypertension

Karen Tran-Harding, Michael Winkler, Driss Raissi

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

We report a case of a 50-year-old man with a history of liver cirrhosis and colon cancer post end colostomy presenting to the emergency department with stomal bleeding and passage of clots into the colostomy bag. The patient was treated with transjugular intrahepatic portosystemic shunt (TIPS) and concomitant embolization of the stomal varices via the TIPS shunt using N-butyl cyanoacrylate mixed with ethiodol. Although stomal variceal bleeding is uncommon, this entity can have up to 40% mortality upon initial presentation, given the challenges in diagnosis and management. Currently, there are no established standard treatments for stomal variceal bleeding. In addition, to the best of our knowledge, there are no cases in the current literature in which treatment of this entity is performed with a combination of TIPS shunt placement and N-butyl cyanoacrylate variceal embolization.

Original languageEnglish (US)
Pages (from-to)356-360
Number of pages5
JournalRadiology Case Reports
Volume13
Issue number2
DOIs
StatePublished - Apr 2018
Externally publishedYes

Keywords

  • Cirrhosis
  • Colon cancer
  • Embolization
  • NBCA
  • Stomal varices
  • TIPS

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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