Direct Percutaneous Embolization of Peristomal Ileostomy Varices in an Emergency Setting.
Publication/Presentation Date
1-1-2018
Abstract
Patients with liver disease and portal hypertension who have had surgical formation of an abdominal stoma are at risk of developing peristomal varices. These varices have a predilection for bleeding. Ideally, portal decompression via TIPS procedure is performed, with or without direct embolization of the bleeding varix. When TIPS is not an appropriate option due to significant liver disease and hepatic encephalopathy there are other approaches to treat peristomal variceal hemorrhage. We report the embolization of such a varix via direct percutaneous puncture under ultrasound guidance when portal decompression was not an appropriate option.
Volume
2018
First Page
6239183
Last Page
6239183
ISSN
2090-6862
Published In/Presented At
Ryan, W., Dako, F., Cohen, G., Pryluck, D., Panaro, J., Cuthbertson, E., & Niman, D. (2018). Direct Percutaneous Embolization of Peristomal Ileostomy Varices in an Emergency Setting. Case reports in radiology, 2018, 6239183. https://doi.org/10.1155/2018/6239183
Disciplines
Diagnosis | Medicine and Health Sciences | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment | Radiology
PubMedID
30174978
Department(s)
Department of Radiology and Diagnostic Medical Imaging
Document Type
Article