J Korean Soc Radiol.  2014 Nov;71(5):231-234. 10.3348/jksr.2014.71.5.231.

Percutaneous Transhepatic Obliteration of Stomal Variceal Hemorrhage from an Ileal Conduit: Case Report and Brief Literature Review

• Park SH
• Kim DY
• Lee SJ
• Won JY
• Park SI
• Lee DY
• Kim MD

• KMID: 2208791
• DOI: http://doi.org/10.3348/jksr.2014.71.5.231

Abstract

Variceal bleeding is an unusual complication of ileal conduits. We report a case in which recurrent stomal variceal hemorrhage from an ileal conduit for bladder cancer was successfully treated by percutaneous transhepatic obliteration (PTO) using microcoils and N-butyl cyanoacrylate. Therefore, PTO can be one treatment option to prevent recurrent stomal variceal bleeding from ileal conduits.

MeSH Terms

Cyanoacrylates
Esophageal and Gastric Varices
Hemorrhage*
Hypertension, Portal
Urinary Bladder Neoplasms
Urinary Diversion*
Cyanoacrylates

Figure

• 

  Fig. 1 Radiography of an 82-year-old man who had recurrent stomal variceal hemorrhage from an ileal conduit that was treated with percutaneous transhepatic obliteration. A. Axial CT scan revealed tortuous and dilated mesenteric varices (arrows) at the stomal site. B. Percutaneous transhepatic portography demonstrated mesenteric varices (arrows) and stomal varices (arrowheads). C. After percutaneous transhepatic obliteration using microcoils and N-butyl cyanoacrylate, the stomal varices were no longer visualized. D. Axial CT scan, obtained 7 months later, revealed no bleeding recurrence (arrows).

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