Document Detail


Ileal conduit hemorrhage secondary to portal hypertension.
MedLine Citation:
PMID:  311099     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The clinical features and management of 3 patients who presented with the triad of massive hemorrhage from the ileal conduit, portal hypertension due to liver disease, and portosystemic varices related to the conduits are described. One patient, a class C cirrhotic, was treated conservatively and died of blood loss and hepatic coma. Two patients were managed with splenorenal shunts initially, followed by creation of colon conduits, and are currently doing well. Surgical approximation of areas draining in the portal and systemic circulation with subsequent development or adhesion-related varices probably explains the predilection for involvement of the ileal conduit and may explain the presence of varices in mild to moderate portal hypertension before other signs of hepatic decompensation are evident. Superior mesenteric angiography with special attention directed at the venous phase is necessary to document this entity.
Authors:
K K Crooks; T W Hensle; N M Heney; A Waltman; R J Irwin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Urology     Volume:  12     ISSN:  0090-4295     ISO Abbreviation:  Urology     Publication Date:  1978 Dec 
Date Detail:
Created Date:  1979-04-28     Completed Date:  1979-04-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  689-93     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Gastrointestinal Hemorrhage / etiology*
Humans
Hypertension, Portal / complications*,  etiology
Ileum / surgery
Liver Diseases / complications
Male
Mesenteric Arteries / radiography
Middle Aged
Portal System
Urinary Diversion*
Varicose Veins / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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