Para-stomal variceal bleed, 9 years post-radical cystectomy: An Unusual emergency at a usually missed location
<p>Parastomal or stomal varices are infrequently encountered with majority occurring secondary to portal hypertension. They can be a source of considerable morbidity, mandating hospitalization, blood transfusions, angiographic or surgical intervention and may even be fatal.</p><p>W...
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| Main Authors: | , , |
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| Format: | Book |
| Published: |
Archive of Urological Research - Peertechz Publications,
2020-12-29.
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| Online Access: | Connect to this object online. |
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| Summary: | <p>Parastomal or stomal varices are infrequently encountered with majority occurring secondary to portal hypertension. They can be a source of considerable morbidity, mandating hospitalization, blood transfusions, angiographic or surgical intervention and may even be fatal.</p><p>We describe a rare instance of parastomal variceal bleeding in a patient who had undergone a radical cystectomy and ileal conduit-urinary diversion in 2011 for a high-grade muscle-invasive transitional cell carcinoma of the urinary bladder, which was managed via simple suture-ligation. Though reported as a temporary measure, he remained stable till date.</p><p>The point to note is that this approach is beneficial, especially in an emergent scenario- to avoid missing this unusual occurrence, at a usually missed site.</p> |
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| DOI: | 10.17352/aur.000027 |