Bleeding ileal conduit stomal varices: diagnosis and management using transjugular transhepatic angiography and embolization

Urology. 1997 Oct;50(4):612-4. doi: 10.1016/S0090-4295(97)00267-7.


An uncommon complication of ileal conduit urinary diversion is bleeding varices at the stoma site. Variceal formation is a complication of portal hypertension, which is most commonly due to intrinsic liver disease. Problematic recurrent bleeding is usually managed locally or by portosystemic shunt. We report a case of recurrent, massive ileal conduit variceal hemorrhage in a patient without a significantly elevated portosystemic gradient. Therefore, this patient was not a candidate for a shunt procedure. Using a transjugular transhepatic approach to the portal vein, the varices were embolized to stasis without any complications. The patient has subsequently experienced no further bleeding episodes.

Publication types

  • Case Reports

MeSH terms

  • Embolization, Therapeutic
  • Gastrointestinal Hemorrhage / diagnostic imaging
  • Gastrointestinal Hemorrhage / etiology*
  • Gastrointestinal Hemorrhage / therapy
  • Humans
  • Ileal Diseases / diagnostic imaging
  • Ileal Diseases / etiology*
  • Ileal Diseases / therapy
  • Ileum / blood supply*
  • Ileum / surgery
  • Male
  • Middle Aged
  • Radiography
  • Surgical Stomas
  • Urinary Diversion / adverse effects*
  • Varicose Veins / diagnostic imaging
  • Varicose Veins / etiology*
  • Varicose Veins / therapy