Successful embolization of ileal conduit stomal varices with N-butyl cyanoacrylate via a recanalized paraumbilical vein

Successful embolization of ileal conduit stomal varices with N-butyl cyanoacrylate via a recanalized paraumbilical vein

A 77-year-old woman with liver cirrhosis was admitted to our hospital for marked hemorrhage in her ileal conduit stoma. She had a history of cystectomy and urinary diversion for bladder carcinoma 2 years ago. Contrast-enhanced CT demonstrated varices in the ileal conduit stoma. We accessed the varic...

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Bibliographic Details
Main Authors: Yasuyuki Onishi, MD, Hiroyuki Kimura, MD, PhD, Mitsunori Kanagaki, MD, PhD, Shojiro Oka, MD, Genki Fukumoto, MD, Tomoaki Otani, MD, Naoko Matsubara, MD, Kazuna Kawabata, MD, PhD, Tomihiko Yasufuku, MD, PhD, Yuji Yamada, MD, PhD
Format: Article
Language:English
Published: Elsevier 2018-12-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043318303005
Description
Summary:A 77-year-old woman with liver cirrhosis was admitted to our hospital for marked hemorrhage in her ileal conduit stoma. She had a history of cystectomy and urinary diversion for bladder carcinoma 2 years ago. Contrast-enhanced CT demonstrated varices in the ileal conduit stoma. We accessed the varices via a recanalized paraumbilical vein to avoid pain from the transhepatic approach, and selectively embolized the varices with N-butyl cyanoacrylate (NBCA). We consider antegrade embolization of ileal conduit stomal varices with NBCA to be effective and feasible. Access via a paraumbilical vein is a useful alternative to the transhepatic approach. Keywords: Ectopic varix, Portal hypertension, Embolization, N-butyl cyanoacrylate, Paraumbilical vein
ISSN:1930-0433

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