Trans-hepatic trans-portal selective angioembolization; a management option for severe acute variceal bleeding of ileal conduit stoma

Autor: Ahmad Haffar, Amr A. Elbakry, Tyler Trump, Zachary Werner, Kevin McCluskey, Mohamed W. Salkini
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Urology Case Reports, Vol 45, Iss , Pp 102222- (2022)
Druh dokumentu: article
ISSN: 2214-4420
DOI: 10.1016/j.eucr.2022.102222
Popis: We present a case of severe acute variceal bleeding in an ileal conduit stoma successfully managed with trans-hepatic trans-portal selective angioembolization as a lifesaving measure. Despite repeated transfusions, the patient's hemoglobin continued to be unstable. The patient underwent transhepatic embolization of ileal stoma varicose veins. Angioembolization was followed up with excision of ileal conduit stoma and creation of cutaneous ureterostomy for definitive treatment management of hemorrhage. In conclusion, trans-hepatic trans-portal embolization is an effective option for management of severe acute variceal bleeding in an ileal conduit stoma as a lifesaving measure and can be followed by excision of the conduit.
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