Case Report

CardioVascular and Interventional Radiology

, Volume 33, Issue 1, pp 201-204

Direct Percutaneous Embolization of Bleeding Stomal Varices

  • Sailen G. NaiduAffiliated withDepartment of Radiology, Division of Interventional Radiology, Mayo Clinic Arizona, Mayo Clinic Hospital Email author 
  • , Erik P. CastleAffiliated withDepartment of Urology, Mayo Clinic Arizona, Mayo Clinic Hospital
  • , J. Scott KriegshauserAffiliated withDepartment of Radiology, Division of Interventional Radiology, Mayo Clinic Arizona, Mayo Clinic Hospital
  • , Eric A. HuettlAffiliated withDepartment of Radiology, Division of Interventional Radiology, Mayo Clinic Arizona, Mayo Clinic Hospital

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Abstract

Stomal variceal bleeding can develop in patients with underlying cirrhosis and portal hypertension. Most patients are best treated with transjugular intrahepatic portosystemic shunt (TIPS) creation because this addresses the underlying problem of portal hypertension. However, some patients are not good candidates for TIPS creation because they have end-stage liver disease or encephalopathy. We describe such a patient who presented with recurrent bleeding stomal varices, which was successfully treated with percutaneous coil embolization. The patient had bleeding-free survival for 1 month before death from unrelated causes.

Keywords

Stomal varices Portal hypertension Percutaneous therapy TIPS