Case Report
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World J Gastroenterol. Nov 28, 2013; 19(44): 8156-8159
Published online Nov 28, 2013. doi: 10.3748/wjg.v19.i44.8156
Ileal conduit stomal variceal bleeding managed by endovascular embolization
Deng-Hua Yao, Xue-Feng Luo, Biao Zhou, Xiao Li
Deng-Hua Yao, Xue-Feng Luo, Biao Zhou, Xiao Li, Department of Gastroenterology and Hepatology, Institution of Intervention Radiology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Yao DH, Luo XF and Li X designed the report; Luo XF performed the operation; Zhou B performed image collection; and Yao DH wrote the paper.
Supported by The National Natural Science Foundation of China, No. 81171444 and No. 30770984
Correspondence to: Xiao Li, Professor, Department of Gastroenterology and Hepatology, Institution of Intervention Radiology, West China Hospital, Sichuan University, No. 37 Guoxue Lane, Chengdu 610041, Sichuan Province, China. simonlixiao@gmail.com
Telephone: +86-28-85422114 Fax: +86-28-85422114
Received: July 17, 2013
Revised: September 16, 2013
Accepted: September 29, 2013
Published online: November 28, 2013
Abstract

Ileal conduit stomal varices are rare, and may result in bleeding. The standard treatment modality for management of this type of hemorrhage has not been established. We present the case of a 70-year-old woman with progressive ileal conduit stomal variceal bleeding which was successfully managed by endovascular embolization via the transjugular transhepatic approach. In conclusion, transjugular transhepatic endovascular embolization is a good choice in patients with ileal conduit stomal variceal bleeding who have failed conservative therapy.

Keywords: Ectopic variceal bleeding, Ileal conduit, Stomal bleeding, Cirrhosis, Hemostasis, Transjugular transhepatic embolization

Core tip: Ileal conduit stomal varices are very rare, and may result in refractory bleeding. We present the case of a 70-year-old woman with progressive ileal conduit stomal variceal bleeding which was successfully managed by endovascular embolization via the transjugular transhepatic approach.