CardioVascular and Interventional Radiology

, Volume 33, Issue 1, pp 201–204

Direct Percutaneous Embolization of Bleeding Stomal Varices

  • Sailen G. Naidu
  • Erik P. Castle
  • J. Scott Kriegshauser
  • Eric A. Huettl
Case Report

DOI: 10.1007/s00270-009-9536-4

Cite this article as:
Naidu, S.G., Castle, E.P., Kriegshauser, J.S. et al. Cardiovasc Intervent Radiol (2010) 33: 201. doi:10.1007/s00270-009-9536-4

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 varicesPortal hypertensionPercutaneous therapyTIPS

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Sailen G. Naidu
    • 1
  • Erik P. Castle
    • 2
  • J. Scott Kriegshauser
    • 1
  • Eric A. Huettl
    • 1
  1. 1.Department of Radiology, Division of Interventional RadiologyMayo Clinic Arizona, Mayo Clinic HospitalPhoenixUSA
  2. 2.Department of UrologyMayo Clinic Arizona, Mayo Clinic HospitalPhoenixUSA