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  • Title: [Case report : bleeding from ileal conduit in a patient with portal hypertension due to liver cirrhosis type C].
    Author: Koizumi K, Kamigaito T, Maruyama A, Nakayama T.
    Journal: Hinyokika Kiyo; 2015 Jan; 61(1):19-21. PubMed ID: 25656015.
    Abstract:
    A 68-year-old man treated for type C liver cirrhosis was referred to our hospital for evaluation of a bladder tumor. The patient underwent transurethral resection of bladder tumor. The histopathological diagnosis was urothelial cancer (G2>G3, T2) and he underwent radical cystectomy with ileal conduit urinary diversion. Starting 3 months postoperatively, he experienced bleeding from the mucosa of the ileal conduit. Computed tomography showed vascular dilatation around the ileal conduit. This was considered to be attributable to portal hypertension resulting from liver cirrhosis. Conservative therapy failed to achieve hemostasis. The patient was not considered to have indications for a transjugular intrahepatic portosystemic shunt (TIPS). He died from bleeding 22 months after radical cystectomy.
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