Case Report

Emergency Radiology

, Volume 13, Issue 6, pp 341-343

Bleeding from peristomal varices in a cirrhotic patient with ileal conduit: treatment with transjugular intrahepatic portocaval shunt (TIPS)

  • Gianpaolo CarrafielloAffiliated withDepartment of Radiology, University of Insubria Email author 
  • , Domenico LaganàAffiliated withDepartment of Radiology, University of Insubria
  • , Andrea GiorgianniAffiliated withDepartment of Radiology, University of Insubria
  • , Domenico LumiaAffiliated withDepartment of Radiology, University of Insubria
  • , Monica ManginiAffiliated withDepartment of Radiology, University of Insubria
  • , Edi ParagoneAffiliated withDepartment of Radiology, University of Insubria
  • , Carlo FugazzolaAffiliated withDepartment of Radiology, University of Insubria

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Abstract

We report an unusual case of a 71-year-old man with liver cirrhosis who presented recurred bleedings from the stoma of the ileal conduit after radical cystoprostatectomy. The haemorrhages could not be treated by local measures, and a transjugular intrahepatic portocaval shunt was performed, displacing an endoprosthesis and a self-expandable stent. We highlight the role of TIPS to treat recurrent bleedings from the stoma in cirrhotic patients with ileal conduit and portal hypertension.

Keywords

TIPS Varices Stoma Bleeding