Life-Threatening Bleeding from Peristomal Varices after Cystoprostatectomy: Multimodal Approach in a Cirrhotic, Encephalopathic Patient with Severe Portal Hypertension

المؤلفون المشاركون

Staubli, Sergej E. L.
Gramann, Tobias
Schwab, Christoph
Semela, David
Hechelhammer, Lukas
Engeler, Daniel S.
Abt, Dominik
Mordasini, Livio
Schmid, Hans-Peter

المصدر

Case Reports in Urology

العدد

المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-3، 3ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2015-01-29

دولة النشر

مصر

عدد الصفحات

3

التخصصات الرئيسية

الطب البشري

الملخص EN

The bleeding of peristomal varices due to a portosystemic shunt is rare but potentially life-threatening in cirrhotic patients with portal hypertension.

The scarce case reports in the literature recommend transjugular intrahepatic portosystemic shunt (TIPS) to prevent further bleeding.

We report on a 72-year-old man who was referred to our hospital because of life-threatening bleeding from peristomal varices, three years after radical cystoprostatectomy for invasive bladder cancer.

CT imaging showed liver cirrhosis with a prominent portosystemic shunt leading to massively enlarged peristomal varices.

TIPS was taken into consideration, but not possible due to hepatic encephalopathy (HE).

Medical therapy with lactulose and the nonselective beta-blocker carvedilol was initiated to treat HE and portal hypertension.

In a second step, the portosystemic shunt was percutaneously embolized.

Here, we present a multimodal approach to treat intractable bleeding from peristomal varices in a patient with ileal conduit urinary diversion, not suitable for TIPS.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Staubli, Sergej E. L.& Gramann, Tobias& Schwab, Christoph& Semela, David& Hechelhammer, Lukas& Engeler, Daniel S.…[et al.]. 2015. Life-Threatening Bleeding from Peristomal Varices after Cystoprostatectomy: Multimodal Approach in a Cirrhotic, Encephalopathic Patient with Severe Portal Hypertension. Case Reports in Urology،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060275

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Staubli, Sergej E. L.…[et al.]. Life-Threatening Bleeding from Peristomal Varices after Cystoprostatectomy: Multimodal Approach in a Cirrhotic, Encephalopathic Patient with Severe Portal Hypertension. Case Reports in Urology No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1060275

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Staubli, Sergej E. L.& Gramann, Tobias& Schwab, Christoph& Semela, David& Hechelhammer, Lukas& Engeler, Daniel S.…[et al.]. Life-Threatening Bleeding from Peristomal Varices after Cystoprostatectomy: Multimodal Approach in a Cirrhotic, Encephalopathic Patient with Severe Portal Hypertension. Case Reports in Urology. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060275

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-1060275