CardioVascular and Interventional Radiology

, Volume 18, Issue 3, pp 179–182

Percutaneous transhepatic embolization as treatment for bleeding ileostomy varices

  • Khaled K. Toumeh
  • Jeffrey D. Girardot
  • In W. Choo
  • James C. Andrews
  • Kyung J. Cho
Case Reports

DOI: 10.1007/BF00204146

Cite this article as:
Toumeh, K.K., Girardot, J.D., Choo, I.W. et al. Cardiovasc Intervent Radiol (1995) 18: 179. doi:10.1007/BF00204146

Abstract

We report two patients with bleeding stomal varices following total colectomy and ileostomy. The varices were demonstrated by superior mesenteric angiography and percutaneous transhepatic mesenteric venography; dilated ileal veins drained via the stomal varices into abdominal wall veins. Bleeding from the stomal varices was treated by transhepatic embolization. The first patient required three transhepatic embolizations after recurrent bleeding due to recanalization of the embolized ileal vein and the development of collaterals from the adjacent ileal veins over a one-year period. The second patient died of respiratory failure 1 week after embolization. Neither patient developed mesenteric or stomal ischemia.

Key words

Enterostomal varices Hemorrhage, therapy Percutaneous transhepatic embolization, embolic material Gelfoam Ethanol Coil Portal hypertension Complication 

Copyright information

© Springer-Verlag New York Inc. 1995

Authors and Affiliations

  • Khaled K. Toumeh
    • 1
  • Jeffrey D. Girardot
    • 1
  • In W. Choo
    • 1
  • James C. Andrews
    • 1
  • Kyung J. Cho
    • 1
  1. 1.Department of RadiologyB1D 530 University of Michigan HospitalsAnn ArborUSA