Successful embolization of subcutaneous mesenteric varices within an ileal conduit in a patient with liver cirrhosis.
embolization
ileal conduit
liver cirrhosis
mesenteric veins
varices
Journal
IJU case reports
ISSN: 2577-171X
Titre abrégé: IJU Case Rep
Pays: Australia
ID NLM: 101764958
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
27
05
2023
accepted:
12
09
2023
medline:
6
11
2023
pubmed:
6
11
2023
entrez:
6
11
2023
Statut:
epublish
Résumé
Venous hemorrhage from ectopic varices is potentially fatal. This report describes a rare case in which bleeding from mesenteric varices in an ileal conduit was treated successfully by embolization therapy. The patient was an 82-year-old man who had previously undergone total pelvic exenteration for colon cancer with creation of an ileal conduit for urinary diversion. He subsequently developed liver cirrhosis and underwent partial hepatectomy for hepatocellular carcinoma. 9 years after his colon surgery, he was admitted with gross hematuria. Computed tomography revealed subcutaneous mesenteric varices in the ileal conduit and hemorrhage as a result of rupture of the varices. The bleeding continued despite repeated manual compression but was eventually stopped by embolization therapy. Embolization therapy may be helpful for hemostasis in the event of intractable bleeding from mesenteric varices in an ileal conduit.
Identifiants
pubmed: 37928295
doi: 10.1002/iju5.12644
pii: IJU512644
pmc: PMC10622204
doi:
Types de publication
Case Reports
Langues
eng
Pagination
445-448Informations de copyright
© 2023 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of Japanese Urological Association.
Déclaration de conflit d'intérêts
The authors declare that they have no competing interests.
Références
Urol Case Rep. 2022 Sep 12;45:102222
pubmed: 36147194
Medicina (Kaunas). 2019 Jul 03;55(7):
pubmed: 31277322
J Clin Gastroenterol. 2021 Feb 1;55(2):147-158
pubmed: 31876839
Can J Gastroenterol Hepatol. 2020 Feb 11;2020:5143013
pubmed: 32104670
Can Urol Assoc J. 2015 Nov-Dec;9(11-12):E897-9
pubmed: 26834901
Surg Case Rep. 2020 Sep 29;6(1):236
pubmed: 32990797
Gastrointest Endosc. 2004 Nov;60(5):778-83
pubmed: 15557954
Indian J Urol. 2020 Apr-Jun;36(2):130-132
pubmed: 32549665
Radiol Case Rep. 2018 Sep 13;13(6):1130-1132
pubmed: 30233743
Medicine (Baltimore). 2022 Aug 19;101(33):e30018
pubmed: 35984127
World J Gastroenterol. 2013 Feb 14;19(6):951-4
pubmed: 23429766