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  • Title: [Life-threatening bleeding from ileal conduit venous varices in a patient with portal hypertension].
    Author: Kupczyk PA, Fischer S, Praktiknjo M, Stein J, Müller SC, Meyer C.
    Journal: Urologe A; 2019 Jan; 58(1):41-44. PubMed ID: 30539203.
    Abstract:
    Life-threatening bleeding from portosystemic varices is a feared complication of portal hypertension. Particularly, varices in atypical locations-so-called ectopic varices-pose a challenge for diagnosis and therapy. In the present article, we describe the case of a patient with liver cirrhosis and recurrent bleeding from an ileal conduit resulting from peristomal varicosis. The difficult and hence delayed diagnosis led to a life-threatening hemorrhage that was successfully treated with interventional radiological variceal embolization and TIPS (transjugular intrahepatic portosystemic shunt) implantation.
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