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.
Document Type
Article
Publication Date
4-1-2018
Digital Object Identifier (DOI)
https://doi.org/10.1016/j.radcr.2018.01.010
Repository Citation
Tran-Harding, Karen; Winkler, Michael A.; and Raissi, Driss, "Bleeding Stomal Varices in Portal Hypertension" (2018). Radiology Faculty Publications. 11.
https://uknowledge.uky.edu/radiology_facpub/11
Notes/Citation Information
Published in Radiology Case Reports, v. 13, issue 2, p. 356-360.
Copyright © 2018 The Authors
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).