Document Detail


A Case of Recurrent Bleeding Stomal Varix Controlled Using Embolization with a Liquid Copolymer: An Effective Therapy for Palliation.
MedLine Citation:
PMID:  24325559     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Background: Bleeding stomal varices (BSV) is a common problem in patients undergoing an ileostomy or colostomy. The diagnosis is often delayed as blood loss occurs in small amounts over a period of time, usually from minor anastamosing blood vessels at the ostomy site making it hard to diagnose. Treatment options can be limited in terms of modalities and efficacy. Case: We describe a case of recurrent bleeding from a superior mesenteric vein (SMV) that was inadvertently sewn into the ileostomy site during surgery. Bleeding was initially controlled with percutaneous SMV coil embolization, but the bleeding persisted, only to be controlled finally by embolization using a liquid copolymer. Though the patient was terminally ill, his quality of life significantly improved thereafter, he did not have any further bleeding episodes during 10 months of follow-up. Conclusion: Embolization of a recurrent bleeding stomal varix with a liquid copolymer may be an effective therapeutic option.
Authors:
Prasanna Sengodan; Kiran Anna; Steven Reed; Birju Shah; Alok Jain; Annette Kyprianou
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-12-10
Journal Detail:
Title:  Journal of palliative medicine     Volume:  -     ISSN:  1557-7740     ISO Abbreviation:  J Palliat Med     Publication Date:  2013 Dec 
Date Detail:
Created Date:  2013-12-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9808462     Medline TA:  J Palliat Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1 Department of Medicine, MetroHealth Medical Center , Cleveland, Ohio.
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