Successful embolization of subcutaneous mesenteric varices within an ileal conduit in a patient with liver cirrhosis
Introduction 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. Case presentation The patient was an 82‐year‐old man who had previously undergon...
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| Format: | Article |
| Language: | English |
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Wiley
2023-11-01
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| Series: | IJU Case Reports |
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| Online Access: | https://doi.org/10.1002/iju5.12644 |
| _version_ | 1797627771127595008 |
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| author | Ayaka Sakurai Akira Ohtsu Seiji Arai Masanori Aoki Miho Ikeya Hiroyuki Tokue Keisuke Hori Yuji Fujizuka Yoshitaka Sekine Hidekazu Koike Kazuhiro Suzuki |
| author_facet | Ayaka Sakurai Akira Ohtsu Seiji Arai Masanori Aoki Miho Ikeya Hiroyuki Tokue Keisuke Hori Yuji Fujizuka Yoshitaka Sekine Hidekazu Koike Kazuhiro Suzuki |
| author_sort | Ayaka Sakurai |
| collection | DOAJ |
| description | Introduction 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. Case presentation 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. Conclusion Embolization therapy may be helpful for hemostasis in the event of intractable bleeding from mesenteric varices in an ileal conduit. |
| first_indexed | 2024-03-11T10:29:10Z |
| format | Article |
| id | doaj.art-e6b9a353f6d3427398e7663258981705 |
| institution | Directory Open Access Journal |
| issn | 2577-171X |
| language | English |
| last_indexed | 2024-03-11T10:29:10Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj.art-e6b9a353f6d3427398e76632589817052023-11-15T06:01:08ZengWileyIJU Case Reports2577-171X2023-11-016644544810.1002/iju5.12644Successful embolization of subcutaneous mesenteric varices within an ileal conduit in a patient with liver cirrhosisAyaka Sakurai0Akira Ohtsu1Seiji Arai2Masanori Aoki3Miho Ikeya4Hiroyuki Tokue5Keisuke Hori6Yuji Fujizuka7Yoshitaka Sekine8Hidekazu Koike9Kazuhiro Suzuki10Department of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Diagnostic and Interventional Radiology Gunma University Hospital Maebashi Gunma JapanDepartment of Diagnostic and Interventional Radiology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanDepartment of Urology Gunma University Hospital Maebashi Gunma JapanIntroduction 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. Case presentation 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. Conclusion Embolization therapy may be helpful for hemostasis in the event of intractable bleeding from mesenteric varices in an ileal conduit.https://doi.org/10.1002/iju5.12644embolizationileal conduitliver cirrhosismesenteric veinsvarices |
| spellingShingle | Ayaka Sakurai Akira Ohtsu Seiji Arai Masanori Aoki Miho Ikeya Hiroyuki Tokue Keisuke Hori Yuji Fujizuka Yoshitaka Sekine Hidekazu Koike Kazuhiro Suzuki Successful embolization of subcutaneous mesenteric varices within an ileal conduit in a patient with liver cirrhosis IJU Case Reports embolization ileal conduit liver cirrhosis mesenteric veins varices |
| title | Successful embolization of subcutaneous mesenteric varices within an ileal conduit in a patient with liver cirrhosis |
| title_full | Successful embolization of subcutaneous mesenteric varices within an ileal conduit in a patient with liver cirrhosis |
| title_fullStr | Successful embolization of subcutaneous mesenteric varices within an ileal conduit in a patient with liver cirrhosis |
| title_full_unstemmed | Successful embolization of subcutaneous mesenteric varices within an ileal conduit in a patient with liver cirrhosis |
| title_short | Successful embolization of subcutaneous mesenteric varices within an ileal conduit in a patient with liver cirrhosis |
| title_sort | successful embolization of subcutaneous mesenteric varices within an ileal conduit in a patient with liver cirrhosis |
| topic | embolization ileal conduit liver cirrhosis mesenteric veins varices |
| url | https://doi.org/10.1002/iju5.12644 |
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